Dove, Autumn Elizabeth
Dove, Autumn Elizabeth is an individual health care provider with primary practice located at 2703 Se Otis Corley Dr Ste 11 , Bentonville AR 72712-3414. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Dove, Autumn Elizabeth can be contacted via phone (501) 326-8942.Contact Information
Primary practice address
2703 Se Otis Corley Dr Ste 11
Bentonville AR 72712-3414
Phone: (501) 326-8942
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-21-50869 |
Profile Details
| NPI number | 1124665047 |
|---|---|
| LBN Legal business name | Dove, Autumn Elizabeth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 10th, 2019 |
| Last updated | Aug 19th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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