Individual
IYANNA DENISE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
510 W CHURCH ST STE A, SHERIDAN, AR 72150-2016
(870) 484-4411
Mailing address
400 N ROCK ST, SHERIDAN, AR 72150-2228
(870) 942-3135
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11356-M
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150049791
—
AR
Enumeration date
08/09/2021
Last updated
08/09/2021
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