Individual
HANRIETTA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
YOUTH HOME INC, 20302 COLONEL GLENN RD, LITTLE ROCK, AR 72210
(501) 485-6110
Mailing address
20400 COLONEL GLENN RD, LITTLE ROCK, AR 72210-5323
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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