Individual
JIMMY BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6601 W 12TH ST, LITTLE ROCK, AR 72204-1513
(501) 666-8686
Mailing address
PO BOX 251970, LITTLE ROCK, AR 72225-1970
(501) 666-8686
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/24/2021
Last updated
01/13/2025
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