Individual
MS. EVERLY ISABEL COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2892 N SUNNY LN, FAYETTEVILLE, AR 72703-3946
(918) 289-3350
Mailing address
2892 N SUNNY LN, FAYETTEVILLE, AR 72703-3946
(918) 289-3350
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-36347
—
103K00000X
Behavior Analyst
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
224755706
—
AR
Enumeration date
06/17/2019
Last updated
02/11/2025
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