Individual
SANDRA SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1525 MERRILL DR STE 100, LITTLE ROCK, AR 72211-1665
(501) 221-4311
Mailing address
1525 MERRILL DR STE 100, LITTLE ROCK, AR 72211-1665
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-164092
AR
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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