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Individual

AUSTIN PAUL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2418 E JOYCE BLVD, FAYETTEVILLE, AR 72703-4519
(479) 521-8326
Mailing address
2418 E JOYCE BLVD, FAYETTEVILLE, AR 72703-4519
(479) 521-8326

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
07/12/2022
Last updated
08/05/2026
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