Healthcare Provider Details

I. General information

NPI: 1144184102
Provider Name (Legal Business Name): HAND IN HAND BEHAVIOR THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 N MAIN ST
WALDRON AR
72958
US

IV. Provider business mailing address

PO BOX 173
WALDRON AR
72958-0173
US

V. Phone/Fax

Practice location:
  • Phone: 479-207-0559
  • Fax:
Mailing address:
  • Phone: 479-207-0559
  • 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 Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: MRS. MISTY RAE MITCHELL
Title or Position: CEO
Credential:
Phone: 479-207-0559