Neely Blagg
Individual provider Active NPI Behavior Technician · Trumann, AR
NPI 1184208043 · NPPES record last updated May 7, 2021
Key facts
- NPI
- 1184208043
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1005 Balcom LN
Trumann, AR 72472-9502 - Phone
- (870) 418-1000
- NPI assigned
- May 7, 2021
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1005 Balcom LN
Trumann, AR 72472-9502
Mailing address
3127 Southwest Dr Ste a
Jonesboro, AR 72404-8404
Phone (870) 336-8100
Other providers in Trumann, AR
- James Bradford Bates
- Catrina Baugus
- April Beavers
- Jeremy Bell
- Sarah Berry
- Christy Blocker I
- Cynthia Danette Boling
- Barbara Bollinger
- Jesse Colt Bonds
- Celia Bonner
All providers in Trumann, AR · Behavior Technician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.