Pine Tree ABA Therapy LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

PINE TREE ABA THERAPY LLC

Practice address

4210 N Frontage Rd Ste E
Fayetteville, AR 72703-5036

Phone

(479) 480-5804

NPI assigned

Oct 7, 2026

Last updated

Oct 7, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Asher Lax

Title

Member

Phone

(479) 480-5804

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1791331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791331200000",
    "number": "1205730785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 NW FRONTAGE RD STE 6",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727129254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 N FRONTAGE RD STE E",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035036",
            "telephone_number": "479-480-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE TREE ABA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-07",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A",
        "authorized_official_last_name": "LAX",
        "authorized_official_first_name": "ASHER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "479-480-5804"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Pickens
• Jeremiah Pickett
• Mark G Pickhardt, MD
• Kelly A. Pierce, MD
• Rhonda D Pierce, LPC, EDS
• Christine G. Pingel, RNP
• Douglas Craig Pinnell, D.D.S.
• Jessica Pinnix, MSN, AGPCNP-C
• Melissa Pinter, MS, CCC-SLP
• Angel L Pinto Rovira

• Behavior Analyst in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Behavior Analyst in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.