Individual
EMILY NICOLE MCCUISTION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3205 W MAIN ST, RUSSELLVILLE, AR 72801-2301
(479) 567-5470
Mailing address
805 LIMESTONE CIR APT 12, RUSSELLVILLE, AR 72802-7113
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-80858
AR
Other
Enumeration date
01/31/2020
Last updated
04/24/2025
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