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NPI Code Detail

MEDICARE: CARA A BUNDY

MEDICARE: CARA A BUNDY
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
1171M00000XCase Manager/Care Coordinator
2106S00000XBehavior TechnicianAR

General Provider Information

NPI Number : 1447904743
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARA A BUNDY
Provider Business Mailing Address
First Line : 1000 SWN DR STE 101
Second Line :
City : CONWAY
State : AR
Zip : 72032-2558
Country : US
Telephone Number : 800-985-2908
Fax Number :
Provider Business Practice Location Address
First Line : 3350 W MAIN ST
Second Line :
City : CABOT
State : AR
Zip : 72023-7463
Country : US
Telephone Number : 501-274-4422
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2022
Last Update Date : 03/05/2026

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Directions to “ CARA A BUNDY ” Practice Location

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