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1699282137
JORDAN BREANNE JOHNSON BETHEA
FAYETTEVILLE, AR
NPI
1699282137
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: AR 1-17-28399)
Enumeration Date
2018-01-05
Last Update Date
2018-01-05
Business Address
JORDAN BREANNE JOHNSON BETHEA BCBA
2418 E JOYCE BLVD
FAYETTEVILLE, AR 72703-4519
Phone number: 479-871-7994
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Mailing Address
JORDAN BREANNE JOHNSON BETHEA BCBA
3875 WATERHOLE AVE
SPRINGDALE, AR 72764-6733
Phone number: 843-240-1371
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