Individual
LADENNA ALICE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 PIVOT ROCK RD, EUREKA SPRINGS, AR 72632-9506
(918) 864-4297
Mailing address
29 PIVOT ROCK RD, EUREKA SPRINGS, AR 72632-9506
(918) 864-1508
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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