Timothy J Churchill
Behavior Technician in Springdale, AR. Individual provider (NPI-1).
NPI number1316540586
StatusActive
Last updated in NPPESNov 19, 2020
Details
- NPI
- 1316540586
- Entity type
- Individual (NPI-1)
- Name
- Timothy J Churchill
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 19, 2020
- Certification date
- Nov 19, 2020
- Last updated
- Nov 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | AR | Yes |
Practice location
6836 Isaac'S Orchard RdSpringdale, AR 72762
Phone 479-927-4100 · Fax 479-927-4101
Mailing address
6836 Isaac'S Orchard RdSpringdale, AR 72762
Phone 479-927-4100 · Fax 479-927-4101
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