Healthcare Provider Details

I. General information

NPI: 1205753530
Provider Name (Legal Business Name): JENNIFER BROWER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 N REYNOLDS RD
BRYANT AR
72022-3024
US

IV. Provider business mailing address

2703 SW 16TH ST APT 22
BENTONVILLE AR
72713-8373
US

V. Phone/Fax

Practice location:
  • Phone: 501-613-0385
  • Fax:
Mailing address:
  • Phone: 951-432-9485
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: