Individual
AUBREY PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1704 W INDUSTRIAL DR, ROGERS, AR 72756-2492
(479) 214-9793
Mailing address
1704 W INDUSTRIAL DR, ROGERS, AR 72756-2492
(479) 214-9793
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
19-106237
AR
Other
Enumeration date
02/11/2020
Last updated
05/06/2021
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