Individual
MRS. AMANDA GAIL ESCUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, MCD, CCC-SLP
Contact information
Practice address
677 HIGHWAY 91 W, BONO, AR 72416-8127
(870) 219-1027
Mailing address
677 HIGHWAY 91 W, BONO, AR 72416-8127
(870) 219-1027
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB732936
AR
235Z00000X
Speech-Language Pathologist
2316
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163605721
—
AR
Enumeration date
05/22/2007
Last updated
08/02/2023
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