| Phobos Behavioral Of Farmington Llc | |
|
140 Southwinds Rd Ste 150 Farmington AR 72730-8688 | |
| (479) 267-9015 | |
| Not Available |
| Full Name | Phobos Behavioral Of Farmington Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 140 Southwinds Rd Ste 150, Farmington, Arkansas |
| Authorized Official Name and Position | Anthony Tyler Owens (EXCUTIVE DIRECTOR) |
| Authorized Official Contact | 5392404735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phobos Behavioral Of Farmington Llc 140 Southwinds Rd Ste 150 Farmington AR 72730-8688 Ph: (479) 267-9015 | Phobos Behavioral Of Farmington Llc 140 Southwinds Rd Ste 150 Farmington AR 72730-8688 Ph: (479) 267-9015 |
| NPI Number | 1538932256 |
|---|---|
| Provider Enumeration Date | 11/03/2023 |
| Last Update Date | 11/03/2023 |
| Certification Date | 11/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538932256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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