Individual
REBECCA DANELLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3415 N DIXIELAND RD, LITTLE FLOCK, AR 72756-6817
(479) 346-5459
Mailing address
1000 SWN DR STE 101, CONWAY, AR 72032-2558
(501) 328-3274
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/29/2024
Last updated
04/21/2026
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