Adrienne Nicole Black, RBT-17-45544

NPI #1003306465 in Jonesboro, Arkansas

Provider Information

NPI Number: 1003306465
Entity Type: Individual
Name: Adrienne Nicole Black, RBT-17-45544
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT-17-45544
Enumeration Date: May 11, 2018
Last Updated: Jun 20, 2024

Practice Location

Address: 2808 FOX MEADOW LANE
City: Jonesboro
State: Arkansas
ZIP Code: 72404
Phone: (870) 932-4245

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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