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

Individual provider Behavior Technician · NPI 1467198358

Jaelen Burroughs is a Behavior Technician in Conway, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2022
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Practice location Address checks out

2695 Dave Ward Dr Apt G6
Conway, AR 72034-6783
Phone: (205) 603-0334
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Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (AR)

Record details

NPI number1467198358
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 12, 2022
Last updated in NPPESMay 12, 2022
Certification dateMay 12, 2022
Mailing address2695 Dave Ward Dr Apt G6, Conway, AR 72034-6783

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