Individual
BREANNA RENEE STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5400 EUPER LN, FORT SMITH, AR 72903-3232
(479) 755-6601
Mailing address
1201 EFURD LN, HUNTINGTON, AR 72940-9561
(479) 739-6204
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-62026
AR
106S00000X
Behavior Technician
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Other
Enumeration date
05/27/2021
Last updated
05/17/2024
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