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Martha Gaspard

Behavior Technician in Russellville, AR. Individual provider (NPI-1).

NPI number1033701693
StatusActive
Last updated in NPPESFeb 5, 2021

Details

NPI
1033701693
Entity type
Individual (NPI-1)
Name
Martha Gaspard
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 5, 2021
Certification date
Feb 5, 2021
Last updated
Feb 5, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

500 E 3rd St
Russellville, AR 72801-5204

Phone 479-968-5048

Mailing address

500 E 3rd St
Russellville, AR 72801-5204

Phone 479-968-5048

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