The Light Aba | |
292 Kelley Pl West Fork AR 72774-3218 | |
(479) 466-6173 | |
Not Available |
Full Name | The Light Aba |
---|---|
Speciality | Behavior Analyst |
Location | 292 Kelley Pl, West Fork, Arkansas |
Authorized Official Name and Position | Melanie Krisanne Kyle (BCBA/CO-OWNER) |
Authorized Official Contact | 4794666173 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
The Light Aba 292 Kelley Pl West Fork AR 72774-3218 Ph: (479) 466-6173 | The Light Aba 292 Kelley Pl West Fork AR 72774-3218 Ph: (479) 466-6173 |
NPI Number | 1255018685 |
---|---|
Provider Enumeration Date | 06/28/2023 |
Last Update Date | 06/28/2023 |
Certification Date | 06/28/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255018685 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |