Individual provider · Type 1 NPI

Kimberly Fountain

Day Training/Habilitation Specialist · Russellville, AR

NPI number 1154836161 Active

Practice location

1301 Russell Rd
Russellville, AR 72802-4320

Call (479) 967-2322 Map

Mailing address

PO Box 2109
Russellville, AR 72811-2109

Specialties and licenses

TaxonomyCodeLicense
Day Training/Habilitation Specialist Primary 373H00000XNone listed

Day Training/Habilitation Specialist: Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

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About NPI 1154836161

Kimberly Fountain's National Provider Identifier is 1154836161, issued on Dec 13, 2017. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Russellville, AR. The record was last updated on Dec 13, 2017.