KELLY BRANSCUM

Behavior Technician

Active Individual
NPI: 1508484098

Practice Address

4101 ANGELUS ST
Paragould, AR 72450

Phone: (870) 568-5195

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1508484098 is the National Provider Identifier for KELLY BRANSCUM, a Behavior Technician provider located in Paragould, AR. This NPI was enumerated on July 10, 2020.
KELLY BRANSCUM practices at 4101 ANGELUS ST, Paragould, AR 72450.

Quick Facts

NPI
1508484098
Type
Individual
Enumerated
Jul 10, 2020
Last Updated
Jul 10, 2020

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