Qualls, Audreia

Qualls, Audreia is an individual health care provider with primary practice located at 500 E 3Rd St , Russellville AR 72801-5204. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Qualls, Audreia can be contacted via phone (479) 968-5048.

Contact Information

Primary practice address
500 E 3Rd St Russellville AR 72801-5204
Phone: (479) 968-5048
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1801047139
LBN Legal business name Qualls, Audreia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2008
Last updated Jan 26th, 2021 - about 5 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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