Individual
GRANT MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 SOUTHWINDS RD STE 120, FARMINGTON, AR 72730-8652
(479) 300-6400
Mailing address
120 SOUTHWINDS RD STE 120, FARMINGTON, AR 72730-8652
(479) 300-6400
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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