IndividualActive
Adrienne Black, RBT-17-45544
NPI 1003306465 · Behavior Technician · Jonesboro, AR
Provider details
- NPI number
- 1003306465
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Credential
- RBT-17-45544
- Sex
- Female
- Sole proprietor
- No
- License
- RBT-17-45544 (IL)
Practice location
2808 Fox Meadow Lane
Jonesboro, AR 72404
Phone: (870) 932-4245
Fax: (870) 931-4457
Mailing address
2808 Fox Meadow Lane
Jonesboro, AR 72404
Registry dates
- Enumerated
- 2018-05-11
- Last updated
- 2024-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.