Phobos Behavioral of Farmington LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

PHOBOS BEHAVIORAL OF FARMINGTON LLC

Practice address

140 Southwinds Rd Ste 150
Farmington, AR 72730-8688

Phone

(479) 267-9015

NPI assigned

Nov 3, 2023

Organization subpart

No

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

Authorized official

Name

Anthony Tyler Owens, BCBA, NCSP, LBPNPI 1346765849

Title

Excutive Director

Phone

(539) 240-4735

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anthony Tyler Owens

  • Behavior Analyst
  • Tulsa, OK
  • NPI 1346765849
  Authorized official Same address or phone

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

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1538932256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 SOUTHWINDS RD STE 150",
            "city": "FARMINGTON",
            "state": "AR",
            "postal_code": "727308688",
            "telephone_number": "479-267-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 SOUTHWINDS RD STE 150",
            "city": "FARMINGTON",
            "state": "AR",
            "postal_code": "727308688",
            "telephone_number": "479-267-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOBOS BEHAVIORAL OF FARMINGTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-03",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "EXCUTIVE DIRECTOR",
        "authorized_official_telephone_number": "539-240-4735",
        "authorized_official_credential": "BCBA, NCSP, LBP"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Arkansas Educational Service Cooperative
• Peachtree Village of Farmington, LLC
• Pamela K Petray, MA CCCSLP
• Heather Phillips, M.S., CCC-SLP
• Michelle Nicole Phillips, MD
• Terri Lynn Pinkham, OTRL
• Playworks Pediatric Therapy and Play Gym, LLC
• Kayla Poole-Sarver, LMT
• Rickie Lynn Porter, PD
• Sarah Dianne Post, M.S. CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.