Provider Demographics
NPI:1831386879
Name:ALANIZ, KARA GABRIELLE (MHPP)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:GABRIELLE
Last Name:ALANIZ
Suffix:
Gender:F
Credentials:MHPP
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:GABRIELLE
Other - Last Name:BECKMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MHPP
Mailing Address - Street 1:2400 S 48TH ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72762-6683
Mailing Address - Country:US
Mailing Address - Phone:479-750-2020
Mailing Address - Fax:479-872-2441
Practice Address - Street 1:2400 S 48TH ST
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72762-6683
Practice Address - Country:US
Practice Address - Phone:479-750-2020
Practice Address - Fax:479-872-2441
Is Sole Proprietor?:No
Enumeration Date:2007-10-03
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator