Individual
LEXUS BRETTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3155 N COLLEGE AVE STE 108, FAYETTEVILLE, AR 72703-3500
(479) 957-9121
(479) 777-9967
Mailing address
3155 N COLLEGE AVE STE 108, FAYETTEVILLE, AR 72703-3500
(479) 957-9121
(479) 777-9967
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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