Individual
KOREY JORDAN STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
288 S SCHOOL AVE APT 301, FAYETTEVILLE, AR 72701-5955
(870) 624-0208
Mailing address
288 S SCHOOL AVE APT 301, FAYETTEVILLE, AR 72701-5955
(870) 624-0208
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
AR
Other
Enumeration date
06/23/2026
Last updated
06/23/2026
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