| Socialspace Aba Therapy Llc | |
|
4112 Wetherfield Cv Jonesboro AR 72405-8035 | |
| (870) 897-5496 | |
| Not Available |
| Full Name | Socialspace Aba Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4112 Wetherfield Cv, Jonesboro, Arkansas |
| Authorized Official Name and Position | Brandon Ray Sikes (MEMBER) |
| Authorized Official Contact | 8708975496 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Socialspace Aba Therapy Llc 4112 Wetherfield Cv Jonesboro AR 72405-8035 Ph: (870) 897-5496 | Socialspace Aba Therapy Llc 4112 Wetherfield Cv Jonesboro AR 72405-8035 Ph: (870) 897-5496 |
| NPI Number | 1710691050 |
|---|---|
| Provider Enumeration Date | 01/11/2023 |
| Last Update Date | 01/11/2023 |
| Certification Date | 01/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710691050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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