Audra Fowler

NPI #1033764477 in Paragould, Arkansas

Provider Information

NPI Number
1033764477
Entity Type
Individual
Name
Audra Fowler
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Enumeration Date
Aug 2, 2019
Last Updated
Aug 2, 2019

Practice Location

Address
4101 ANGELUS ST
ZIP Code
72450-2523
Phone
(870) 568-5195

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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