Most Relevant Information
Provider Data
| NPI Number: | 1003684028 |
| Provider Name: | ANGEL ALLEN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/19/2023 |
| Last Updated: | 12/19/2023 |
Provider Practice Location
1900 ALDERSGATE RD
LITTLE ROCK
AR
722056620
Practice Location Phone/Fax
| Phone: | 5018215459 |
| Fax: | 5018216116 |
Provider Mailing Location
1900 ALDERSGATE RD
LITTLE ROCK
AR
722056620
Provider Mailing Phone/Fax
| Phone: | 5018215459 |
| Fax: | 5018216116 |