Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Adrienne Nicole Black, RBT-17-45544

Individual provider Behavior Technician · NPI 1003306465

Adrienne Nicole Black, RBT-17-45544 is a Behavior Technician in Jonesboro, Arkansas. Licensed in Illinois. Registered with an NPI since 2018.

Licensed in
IL
In the registry since
2018

Practice location Address checks out

2808 Fox Meadow Ln
Jonesboro, AR 72404
Phone: (870) 932-4245
Fax: (870) 931-4457
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-17-45544 (IL)

Record details

NPI number1003306465
Entity typeIndividual (Type 1)
GenderFemale
Credentials RBT-17-45544
Sole proprietorNo
NPI enumeratedMay 11, 2018
Last updated in NPPESJune 20, 2024

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