FALLON DANIELLE BACKUS
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1902771660- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3350 W MAIN ST, CABOT, AR, 720237463
- Phone
- (501) 274-4422
Specialties & Taxonomies
Behavior Technician
Primary License: AR