Individual
JULIEAH DANIELLE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3715 N BUSINESS DR, FAYETTEVILLE, AR 72703-5204
(479) 575-9471
Mailing address
3715 N BUSINESS DR, FAYETTEVILLE, AR 72703-5204
(479) 575-9471
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/12/2012
Last updated
05/14/2024
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