Socialspace Aba Therapy LLC
Behavior Analyst in Jonesboro, AR. Organization (NPI-2).
NPI number1710691050
StatusActive
Last updated in NPPESJan 11, 2023
Details
- NPI
- 1710691050
- Entity type
- Organization (NPI-2)
- Legal business name
- Socialspace Aba Therapy LLC
- Organization subpart
- No
- Enumeration date
- Jan 11, 2023
- Certification date
- Jan 11, 2023
- Last updated
- Jan 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
4112 Wetherfield CvJonesboro, AR 72405-8035
Phone 870-897-5496
Mailing address
4112 Wetherfield CvJonesboro, AR 72405-8035
Phone 870-897-5496
Authorized official
Brandon Ray Sikes
Member
8708975496
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