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NPI Code Detail

MEDICARE: MRS. DANIELLE ALLISON ROBERTSON BCABA

MEDICARE: MRS. DANIELLE ALLISON ROBERTSON BCABA
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
1106S00000XBehavior Technician
2103K00000XBehavior Analyst0-26-17057AR

General Provider Information

NPI Number : 1821663105
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DANIELLE ALLISON ROBERTSON BCABA
Provider Business Mailing Address
First Line : 3605 W SOUTHERN HILLS BLVD STE 300
Second Line :
City : ROGERS
State : AR
Zip : 72758-8265
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3605 W SOUTHERN HILLS BLVD STE 300
Second Line :
City : ROGERS
State : AR
Zip : 72758-8265
Country : US
Telephone Number : 479-278-7155
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2021
Last Update Date : 05/22/2026

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Directions to “ MRS. DANIELLE ALLISON ROBERTSON BCABA” Practice Location

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