Individual
COURTENEY CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1525 MERRILL DR, LITTLE ROCK, AR 72211-1821
(501) 228-0063
Mailing address
1525 MERRILL DR, LITTLE ROCK, AR 72211-1821
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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