Most Relevant Information
Provider Data
| NPI Number: | 1003467549 |
| Provider Name: | AMANDA RYAN TIMMER |
| Entity Type: | Individual |
| Taxonomy Code: | 373H00000X |
| Specialty: | Day Training/Habilitation Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/26/2019 |
| Last Updated: | 09/26/2019 |
Provider Practice Location
2792 S 2ND ST STE B
CABOT
AR
720237064
Practice Location Phone/Fax
| Phone: | 8709323600 |
| Fax: |
Provider Mailing Location
1900 STILLWATER DR
JONESBORO
AR
724049119
Provider Mailing Phone/Fax
| Phone: | 8709323600 |
| Fax: |