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NPI Code Detail

MEDICARE: MIYON TAELAR ATKINS

MEDICARE: MIYON TAELAR ATKINS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianAR

General Provider Information

NPI Number : 1124962295
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIYON TAELAR ATKINS
Provider Business Mailing Address
First Line : 1000 SWN DR STE 101
Second Line :
City : CONWAY
State : AR
Zip : 72032-2558
Country : US
Telephone Number : 501-328-3274
Fax Number : 501-328-3274
Provider Business Practice Location Address
First Line : 301 N SIDNEY AVE
Second Line :
City : RUSSELLVILLE
State : AR
Zip : 72801-4383
Country : US
Telephone Number : 479-890-5494
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2026
Last Update Date : 04/17/2026

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Directions to “ MIYON TAELAR ATKINS ” Practice Location

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