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NPI Code Detail

MEDICARE: DEVON ELAINE ADAMSON

MEDICARE: DEVON ELAINE ADAMSON
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 Technician

General Provider Information

NPI Number : 1619810686
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEVON ELAINE ADAMSON
Provider Business Mailing Address
First Line : 1505 N WALDRON RD
Second Line :
City : FORT SMITH
State : AR
Zip : 72904-7323
Country : US
Telephone Number : 479-242-4480
Fax Number :
Provider Business Practice Location Address
First Line : 5704 EUPER LN STE 100
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-3256
Country : US
Telephone Number : 479-242-4480
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ DEVON ELAINE ADAMSON ” Practice Location

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