Individual
AUTUMN CHUMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
114 POLK ROAD 107, MENA, AR 71953-8578
(479) 234-2632
Mailing address
114 POLK ROAD 107, MENA, AR 71953-8578
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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