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Susanne Derossitte Belk, BCBA

Behavior Analyst in Jonesboro, AR. Individual provider (NPI-1).

NPI number1407124258
StatusActive
Last updated in NPPESDec 8, 2011

Details

NPI
1407124258
Entity type
Individual (NPI-1)
Name
Mrs. Susanne Derossitte Belk
Credential
BCBA
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 8, 2011
Last updated
Dec 8, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst1-09-5322ARYes

Practice location

3114 Fox Rd Ste A
Jonesboro, AR 72404-9577

Phone 870-203-0296

Mailing address

4600 Peter Trl
Jonesboro, AR 72401-7954

Phone 870-761-4711

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