Individual
JUANITA JEAN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHPP
Contact information
Practice address
5819 LEE STREET, NA, LITTLE ROCK, AR 72205
(501) 663-2237
Mailing address
6815 FORBING RD, APT 14, LITTLE ROCK, AR 72209-3442
(501) 353-0159
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/14/2009
Last updated
12/14/2009
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