Individual
TAYLOR MARDIS DEWOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., B.C.B.A, L.B.A
Contact information
Practice address
1210 ALDERSGATE RD, LITTLE ROCK, AR 72205-6606
(501) 574-3053
Mailing address
1210 ALDERSGATE RD, LITTLE ROCK, AR 72205-6606
(501) 574-3053
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-159
LA
Other
Enumeration date
06/29/2016
Last updated
07/29/2021
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