Individual
JORDAN L MANGUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 ALDERSGATE RD, LITTLE ROCK, AR 72205-6620
(501) 821-5459
(501) 821-6116
Mailing address
1900 ALDERSGATE RD, LITTLE ROCK, AR 72205-6620
(501) 821-5459
(501) 821-6116
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
AR
106S00000X
Behavior Technician
RBT-21-188011
AR
Other
Enumeration date
02/22/2022
Last updated
11/11/2024
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