Individual
ALYSON RAE MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 ALDERSGATE RD, LITTLE ROCK, AR 72205-6620
(501) 821-5459
Mailing address
1900 ALDERSGATE RD, LITTLE ROCK, AR 72205-6620
(501) 821-5459
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AR
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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