Marigold Aba Services Llc | |
2892 N Sunny Ln Fayetteville AR 72703-3946 | |
(479) 485-0828 | |
Not Available |
Full Name | Marigold Aba Services Llc |
---|---|
Speciality | Behavior Analyst |
Location | 2892 N Sunny Ln, Fayetteville, Arkansas |
Authorized Official Name and Position | Everly I Cole (OWNER) |
Authorized Official Contact | 4794850828 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Marigold Aba Services Llc 2892 N Sunny Ln Fayetteville AR 72703-3946 Ph: (479) 485-0828 | Marigold Aba Services Llc 2892 N Sunny Ln Fayetteville AR 72703-3946 Ph: (479) 485-0828 |
NPI Number | 1881392421 |
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Provider Enumeration Date | 02/22/2023 |
Last Update Date | 02/22/2023 |
Certification Date | 02/22/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881392421 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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