Most Relevant Information
Provider Data
| NPI Number: | 1003573361 |
| Provider Name: | XITLALLY SALAS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/22/2021 |
| Last Updated: | 11/22/2021 |
Provider Practice Location
6836 ISAAC'S ORCHARD RD
SPRINGDALE
AR
72762
Practice Location Phone/Fax
| Phone: | 4799274100 |
| Fax: | 4799274101 |
Provider Mailing Location
6836 ISAAC'S ORCHARD RD
SPRINGDALE
AR
72762
Provider Mailing Phone/Fax
| Phone: | 4799274100 |
| Fax: | 4799274101 |