Organization
NEURODIVERSE NETWORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE SHARP MCD, CCC-SLP (ORGANIZER)
(870) 243-6180
Entity
Organization
Contact information
Practice address
1102 LAURELWOOD CT, JONESBORO, AR 72401-5128
(870) 243-6180
Mailing address
1102 LAURELWOOD CT, JONESBORO, AR 72401-5128
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
224Z00000X
Occupational Therapy Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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