Healthcare Provider Details

I. General information

NPI: 1881392421
Provider Name (Legal Business Name): MARIGOLD ABA SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2023
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5212 W VILLAGE PKWY STE 1
ROGERS AR
72758-8190
US

IV. Provider business mailing address

5212 W VILLAGE PKWY STE 1
ROGERS AR
72758-8190
US

V. Phone/Fax

Practice location:
  • Phone: 479-485-0829
  • Fax:
Mailing address:
  • Phone: 479-485-0828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: EVERLY I COLE
Title or Position: OWNER
Credential: BCBA
Phone: 479-485-0828