Healthcare Provider Details

I. General information

NPI: 1790630879
Provider Name (Legal Business Name): JOY ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2026
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 EFURD LN
HUNTINGTON AR
72940-9561
US

IV. Provider business mailing address

1201 EFURD LN
HUNTINGTON AR
72940-9561
US

V. Phone/Fax

Practice location:
  • Phone: 479-739-6204
  • Fax:
Mailing address:
  • Phone: 479-739-6204
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: BREANNA RENEE STEPHENS
Title or Position: OWNER
Credential: BCBA, LBA
Phone: 479-739-6204