Organization
PROSPERA HEALTHCARE ARKANSAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAIGE MCCOMAS (DIRECTOR OF OPERATIONS)
(972) 900-2488
Entity
Organization
Contact information
Practice address
4021 W WALNUT ST # 1018, ROGERS, AR 72756-1842
(972) 900-2488
(972) 600-2835
Mailing address
4021 W WALNUT ST # 1018, ROGERS, AR 72756-1842
(972) 900-2488
(972) 600-2835
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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