MEDICARE: HAND IN HAND BEHAVIOR THERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician
2	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1144184102
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAND IN HAND BEHAVIOR THERAPY

Provider Business Mailing Address
First Line	:	PO BOX 173
Second Line	:
City	:	WALDRON
State	:	AR
Zip	:	72958-0173
Country	:	US
Telephone Number	:	479-207-0559
Fax Number	:

Provider Business Practice Location Address
First Line	:	131 N MAIN ST
Second Line	:
City	:	WALDRON
State	:	AR
Zip	:	72958
Country	:	US
Telephone Number	:	479-207-0559
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MRS. MISTY RAE MITCHELL
Credential	:
Telephone Number	:	479-207-0559

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	03/20/2026

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Directions to “HAND IN HAND BEHAVIOR THERAPY ” Practice Location

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