Most Relevant Information
Provider Data
NPI Number: | 1003506635 |
Provider Name: | RACHEL CHEYANNE SUNDERMAN |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 05/08/2023 |
Last Updated: | 05/08/2023 |
Provider Practice Location
3155 N COLLEGE AVE STE 108
FAYETTEVILLE
AR
727033500
Practice Location Phone/Fax
Phone: | 4799579121 |
Fax: |
Provider Mailing Location
1125 E TOWNSHIP ST
FAYETTEVILLE
AR
727033553
Provider Mailing Phone/Fax
Phone: | |
Fax: |