Individual
ANN MARIE DONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, MSC
Contact information
Practice address
105 MISSOURI CIR, JACKSONVILLE, AR 72076-1131
(256) 651-1500
Mailing address
PO BOX 1156, JACKSONVILLE, AR 72078-1156
(256) 651-1500
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-277
LA
Other
Enumeration date
04/04/2018
Last updated
04/26/2023
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