Individual
SHAMARIA NIKKOL DEBOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2808 FOX MEADOW LN, JONESBORO, AR 72404-9346
(870) 335-2240
(870) 931-4457
Mailing address
2808 FOX MEADOW LN, JONESBORO, AR 72404-9346
(870) 335-2240
(870) 931-4457
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AR
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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