Individual
MIFRAH MAQBOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 N WALTON BLVD STE A, BENTONVILLE, AR 72712-4302
(417) 501-4161
(417) 627-5330
Mailing address
2601 N WALTON BLVD STE A, BENTONVILLE, AR 72712-4302
(417) 501-4161
(417) 627-5330
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-138307
—
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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