Taquinlynn Abernathy

Individual provider Active NPI Behavior Technician · North Little Rock, AR

NPI 1750107249 · NPPES record last updated Nov 29, 2024

Key facts

NPI
1750107249
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-24-387214 (AR)
Practice address
4610 W Commercial Dr
North Little Rock, AR 72116-7057
Phone
(501) 287-5229
Fax
(317) 520-8200
NPI assigned
Nov 29, 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

State licenses

LicenseStateTypeSpecialty
RBT-24-387214ARMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-24-387214 AR Yes

Addresses

Primary practice location

4610 W Commercial Dr
North Little Rock, AR 72116-7057

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885

Other providers in North Little Rock, AR

All providers in North Little Rock, AR · Behavior Technician in Arkansas

Sources for this page

Verify at the official NPI Registry.