Healthcare Provider Details

I. General information

NPI: 1144853243
Provider Name (Legal Business Name): DONALD LUKE WEBB
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2020
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W CAPITOL AVE STE 1700
LITTLE ROCK AR
72201-3438
US

IV. Provider business mailing address

103 NE PENLYNN AVE
PORT SAINT LUCIE FL
34983-1722
US

V. Phone/Fax

Practice location:
  • Phone: 501-999-3836
  • Fax: 501-325-1818
Mailing address:
  • Phone: 407-860-1079
  • Fax: 501-325-1818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1990
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: