Mary Alexandra Workman, RBT

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-60280 Issued in AR

Practice address

1301 Museum Rd
Conway, AR 72032-4739

Phone

(501) 358-6535

Fax

(501) 358-6536

NPI assigned

Jan 12, 2018

Last updated

Jul 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mary Alexandra Bohannan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Reach Therapy Services LLC

  • Physical Therapist
  • Conway, AR
  • NPI 1649748682
  NPD
• St. Vincent Medical Group

  • Family Medicine Physician
  • Little Rock, AR
  • NPI 1134176480
  NPD

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1932617875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 COUNTRY TRL",
            "city": "QUITMAN",
            "state": "AR",
            "postal_code": "721318698",
            "telephone_number": "501-691-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MUSEUM RD",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324739",
            "telephone_number": "501-358-6535",
            "fax_number": "501-358-6536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Aldersgate Rd",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722056620",
            "country_code": "US",
            "telephone_number": "501-821-5459",
            "fax_number": "501-821-6116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WORKMAN",
        "first_name": "MARY",
        "middle_name": "ALEXANDRA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-12",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AR",
            "license": "1-22-60280",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BOHANNAN",
            "middle_name": "ALEXANDRA",
            "credential": "RBT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cynthia Woodyard, RECOVERY ASSISTANT
• Karla Wooley, PHARM.D.
• Laura Elizabeth Wooten, OD
• Abby Grace Word
• Parker James Work, PA-C
• Sarah Wortham
• Pamela P. Wren, P.T.
• Harriella Alcorn Wright, MHPP
• Jamyia Annette Wright
• Jasmine M Wright, RBT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.