Estella Blue

Individual provider Active NPI Behavior Analyst · Little Rock, AR

NPI 1922490887 · NPPES record last updated Mar 2, 2015

Key facts

NPI
1922490887
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
2000 Aldersgate Rd
Little Rock, AR 72205-7018
Phone
(501) 217-0183
NPI assigned
Mar 2, 2015
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)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

2000 Aldersgate Rd
Little Rock, AR 72205-7018

Mailing address

1600 Aldersgate Rd
Suite 200
Little Rock, AR 72205-6676

Other providers in Little Rock, AR

All providers in Little Rock, AR · Behavior Analyst in Arkansas

Sources for this page

Verify at the official NPI Registry.