NPI 1023685120

Rebecca Cockrum

Practitioner Behavior Technician Conway, AR

Practice location

Address: 815 S Donaghey Ave, Conway, AR 72034-6880
Phone: (501) 574-3053

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1023685120
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jun 2021
Record last updated: 7 Jun 2021

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.