Healthcare Provider Details

I. General information

NPI: 1912844382
Provider Name (Legal Business Name): AYANNA PIERCE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2026
Last Update Date: 05/02/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 N REYNOLDS RD
BRYANT AR
72022-3024
US

IV. Provider business mailing address

1616 N BRYANT ST
LITTLE ROCK AR
72207-6108
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: