IndividualActive
Jacquelyn Fowler
NPI 1922674266 · Behavior Analyst · Russellville, AR
Jacquelyn Fowler is a Behavior Analyst provider in Russellville, AR (NPI 1922674266).
Provider details
- NPI number
- 1922674266
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1-22-61247 (AR)
Practice location
3205 W Main St
Russellville, AR 72801-2301
Phone: (479) 567-5470
Street-level locationGet directions
Mailing address
3205 W Main St
Russellville, AR 72801-2301
Registry dates
- Enumerated
- 2021-05-27
- Last updated
- 2025-03-17
- Certified
- 2025-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.