Healthcare Provider Details

I. General information

NPI: 1265454227
Provider Name (Legal Business Name): BEHAVIOR MANAGEMENT SYSTEMS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 04/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7550 HIGHWAY 107
SHERWOOD AR
72120-4645
US

IV. Provider business mailing address

7550 HIGHWAY 107
SHERWOOD AR
72120-4645
US

V. Phone/Fax

Practice location:
  • Phone: 501-771-4442
  • Fax: 501-992-0138
Mailing address:
  • Phone: 501-771-4442
  • Fax: 501-992-0138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. DIANA CAROL DOYLE
Title or Position: BUSINESS MANAGER
Credential:
Phone: 501-771-4442