| Innovative Behavior Analysis Support Systems, Llc | |
|
3 Lorian Cir Little Rock AR 72212-2662 | |
| (501) 570-6424 | |
| (501) 897-6407 |
| Full Name | Innovative Behavior Analysis Support Systems, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3 Lorian Cir, Little Rock, Arkansas |
| Authorized Official Name and Position | Christopher Boyd Ewing (OWNER/DIRECTOR OF CLINICAL SERVICES) |
| Authorized Official Contact | 5015706424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Behavior Analysis Support Systems, Llc 3 Lorian Cir Little Rock AR 72212-2662 Ph: (501) 570-6424 | Innovative Behavior Analysis Support Systems, Llc 3 Lorian Cir Little Rock AR 72212-2662 Ph: (501) 570-6424 |
| NPI Number | 1104381623 |
|---|---|
| Provider Enumeration Date | 02/08/2019 |
| Last Update Date | 02/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104381623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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