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Individual

CAITLYN J BRAZIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Contact information

Practice address
210 N JONESBORO AVE APT B, RUSSELLVILLE, AR 72801-3538
(479) 970-9055
Mailing address
210 N JONESBORO AVE APT B, RUSSELLVILLE, AR 72801-3538
(479) 970-9055

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-22-215218
AR
225X00000X
Occupational Therapist
Primary
AR

Other

Enumeration date
05/20/2022
Last updated
10/10/2025
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