Provider Demographics
NPI:1487364303
Name:EDUCATION AND BEHAVIORAL CONSULTING SERVICES OF ARKANSAS LLC
Entity type:Organization
Organization Name:EDUCATION AND BEHAVIORAL CONSULTING SERVICES OF ARKANSAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-561-6697
Mailing Address - Street 1:140 SOUTHWINDS RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:FARMINGTON
Mailing Address - State:AR
Mailing Address - Zip Code:72730
Mailing Address - Country:US
Mailing Address - Phone:479-267-9015
Mailing Address - Fax:
Practice Address - Street 1:140 SOUTHWINDS RD
Practice Address - Street 2:SUITE 150
Practice Address - City:FARMINGTON
Practice Address - State:AR
Practice Address - Zip Code:72730
Practice Address - Country:US
Practice Address - Phone:479-267-9015
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-01
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty