Individual
IVAN STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 ALDERSGATE RD, LITTLE ROCK, AR 72205
(501) 661-0720
Mailing address
PO BOX 56050, LITTLE ROCK, AR 72215
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/03/2014
Last updated
02/03/2014
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