NPI 1710691050
Socialspace Aba Therapy LLC
Practice location
- Address
- 4112 Wetherfield Cv, Jonesboro, AR 72405-8035
- Phone
- (870) 897-5496
Authorised official
- Name
- Brandon Ray Sikes
- Title
- Member
- Phone
- (870) 897-5496
Registered specialties
Behavior Analyst
Primary
Registry record
- NPI
- 1710691050
- Entity type
- Organization
- NPI issued
- 11 Jan 2023
- Record last updated
- 11 Jan 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.