Individual
MISS KATELYN TAYLOR BRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 ALDERSGATE RD STE 1, LITTLE ROCK, AR 72205-6675
(501) 574-3053
Mailing address
1701 ALDERSGATE RD STE 1, LITTLE ROCK, AR 72205-6675
(501) 574-3053
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
932688519
AR
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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