Healthcare Provider Details
I. General information
NPI: 1992535942
Provider Name (Legal Business Name): MARIGOLD ABA SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/05/2024
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
- Phone: 479-485-0829
- Fax:
- Phone: 479-485-0829
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
EVERLY
COLE
Title or Position: OWNER, BCBA
Credential: BCBA
Phone: 479-485-0829