| Day Treatment | |
|
410 River St Benton AR 72015-4206 | |
| (501) 661-0720 | |
| Not Available |
| Full Name | Day Treatment |
|---|---|
| Speciality | Behavior Analyst |
| Location | 410 River St, Benton, Arkansas |
| Authorized Official Name and Position | Regina Gideon (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 5016610720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Day Treatment Po Box 56050 Little Rock AR 72215-6050 Ph: () - | Day Treatment 410 River St Benton AR 72015-4206 Ph: (501) 661-0720 |
| NPI Number | 1164851135 |
|---|---|
| Provider Enumeration Date | 11/11/2013 |
| Last Update Date | 11/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164851135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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