Laney Grace Brock

NPI #1083465983 in Paragould, Arkansas

Provider Information

NPI Number: 1083465983
Entity Type: Individual
Name: Laney Grace Brock
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 28, 2024
Last Updated: Mar 28, 2024

Practice Location

Address: 435 GREENE 773 RD
City: Paragould
State: Arkansas
ZIP Code: 72450-9638
Phone: (870) 205-3188

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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