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Kathleen Renee Irwin

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

NPI number1255065645
StatusActive
Last updated in NPPESMay 5, 2023

Details

NPI
1255065645
Entity type
Individual (NPI-1)
Name
Kathleen Renee Irwin
Sex
Female
Sole proprietor
No
Enumeration date
Jul 12, 2022
Certification date
May 5, 2023
Last updated
May 5, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–ARYes

Practice location

2010 Chestnut St
Van Buren, AR 72956-5321

Phone 479-471-9600

Mailing address

2010 Chestnut St
Van Buren, AR 72956-5321

Phone 479-471-9600

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