Brannon, Emily

Brannon, Emily is an individual health care provider with primary practice located at 1301 Museum Rd , Conway AR 72032-4739. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Brannon, Emily can be contacted via phone (501) 358-6535.

Contact Information

Primary practice address
1301 Museum Rd Conway AR 72032-4739
Phone: (501) 358-6535
Fax: (501) 358-6536
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1689313793
LBN Legal business name Brannon, Emily
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2022
Last updated May 27th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689313793 NPPES
Arkansas MEDICAID PENDING

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