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General NPI Number Information
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NPI Number | 1487364303
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Entity Type | Organization
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Legal Business Name | EDUCATION AND BEHAVIORAL CONSULTING SERVICES OF ARKANSAS LLC
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Dates
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Enumeration Date | 12/01/2022
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Last Update Date | 12/01/2022
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Provider Practice Location Address
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Address Line | 140 SOUTHWINDS RD SUITE 150
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City | FARMINGTON
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State | AR
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Zip | 72730
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Country | US
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Telephone | 479-267-9015
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Fax |
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Provider Business Mailing Address
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Address Line | 140 SOUTHWINDS RD SUITE 150
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City | FARMINGTON
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State | AR
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Zip | 72730
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Country | US
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Telephone | 479-267-9015
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Fax |
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Authorized Official
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Title or Position | COMPLIANCE OFFICER
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Name | JENNIFER DAVIS
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Credential |
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Telephone | 918-561-6697
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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