Socialspace ABA Therapy LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SOCIALSPACE ABA THERAPY LLC

Practice address

4112 Wetherfield CV
Jonesboro, AR 72405-8035

Phone

(870) 897-5496

NPI assigned

Jan 11, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Brandon Ray SikesNPI 1548780471

Title

Member

Phone

(870) 897-5496

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandon Sikes, M.S.

  • Behavior Analyst
  • Fayetteville, AR
  • NPI 1548780471
  NPD Authorized official

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1710691050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 WETHERFIELD CV",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724058035",
            "telephone_number": "870-897-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4112 WETHERFIELD CV",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724058035",
            "telephone_number": "870-897-5496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIALSPACE ABA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "SIKES",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "870-897-5496",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scot Joseph Snodgrass, M.D.
• Mai Snow, LCSW, DCSW
• Simeon Snow, MHPP
• Jaron Snyder, PTA
• Kayla Snyder
• Bertha Solorzano
• Solutions Physical Therapy, PLLC
• Lois Somlar, MHPP
• Sonopro Imaging, LLC
• Krystal Soo, PHARM.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.