NPI 1003550534
Maya Longino
Practice location
- Address
- 2010 Chestnut St, Van Buren, AR 72956-5321
- Phone
- (470) 471-9600
- Fax
- (470) 430-7596
Registered specialties
Day Training/Habilitation Specialist
Primary
Registry record
- NPI
- 1003550534
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Apr 2022
- Record last updated
- 21 Apr 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.