Healthcare Provider Details

I. General information

NPI: 1265314645
Provider Name (Legal Business Name): BEHAVIOR BRIDGES ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2025
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 N PRICKETT RD STE 2
BRYANT AR
72022-7511
US

IV. Provider business mailing address

2700 N PRICKETT RD STE 2
BRYANT AR
72022-7511
US

V. Phone/Fax

Practice location:
  • Phone: 501-213-0594
  • Fax: 844-272-0941
Mailing address:
  • Phone: 501-213-0594
  • Fax: 844-272-0941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: JARANIMO MARKS
Title or Position: PRESIDENT
Credential:
Phone: 501-258-3122