Taylor McKenna Bass

Individual provider Active NPI Behavior Technician · Arkadelphia, AR

NPI 1033972799 · NPPES record last updated Feb 5, 2024

Key facts

NPI
1033972799
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
702 Hickory St
Arkadelphia, AR 71923-5040
Phone
(870) 464-1337
Fax
(870) 464-1338
NPI assigned
Feb 5, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X AR Yes

Addresses

Primary practice location

702 Hickory St
Arkadelphia, AR 71923-5040

Mailing address

702 Hickory St
Arkadelphia, AR 71923-5040
Phone (870) 464-1337

Other providers in Arkadelphia, AR

All providers in Arkadelphia, AR · Behavior Technician in Arkansas

Sources for this page

Verify at the official NPI Registry.