Individual
ELMER JOE NEWBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3348 HIGHWAY 62 W, MOUNTAIN HOME, AR 72653-6544
(870) 424-9060
Mailing address
3348 HIGHWAY 62 W, MOUNTAIN HOME, AR 72653-6544
(870) 424-9060
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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