Marigold Aba Services Llc | |
2892 N Sunny Ln Fayetteville AR 72703-3946 | |
(479) 485-0829 | |
Not Available |
Full Name | Marigold Aba Services Llc |
---|---|
Speciality | Behavior Analyst |
Location | 2892 N Sunny Ln, Fayetteville, Arkansas |
Authorized Official Name and Position | Everly Cole (OWNER, BCBA) |
Authorized Official Contact | 4794850829 |
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) 485-0829 | Marigold Aba Services Llc 2892 N Sunny Ln Fayetteville AR 72703-3946 Ph: (479) 485-0829 |
NPI Number | 1992535942 |
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Provider Enumeration Date | 08/05/2024 |
Last Update Date | 08/05/2024 |
Certification Date | 08/05/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992535942 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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