Ana Isabel Angeles Arredondo, RBT

Individual provider Active NPI Behavior Technician · Russellville, AR

NPI 1902553985 · NPPES record last updated Mar 9, 2022

Key facts

NPI
1902553985
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-20-129645 (AR)
Practice address
301 N Sidney Ave
Russellville, AR 72801-4383
Phone
(479) 890-5494
NPI assigned
Mar 9, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RBT-20-129645ARMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-20-129645 AR Yes

Addresses

Primary practice location

301 N Sidney Ave
Russellville, AR 72801-4383

Mailing address

301 N Sidney Ave
Russellville, AR 72801-4383
Phone (479) 890-5494

Other providers in Russellville, AR

All providers in Russellville, AR · Behavior Technician in Arkansas

Sources for this page

Verify at the official NPI Registry.