| The Light Aba | |
|
292 Kelley Pl West Fork AR 72774-3218 | |
| (479) 466-6173 | |
| Not Available |
| Full Name | The Light Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 292 Kelley Pl, West Fork, Arkansas |
| Authorized Official Name and Position | Melanie Krisanne Kyle (BCBA/CO-OWNER) |
| Authorized Official Contact | 4794666173 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Light Aba 292 Kelley Pl West Fork AR 72774-3218 Ph: (479) 466-6173 | The Light Aba 292 Kelley Pl West Fork AR 72774-3218 Ph: (479) 466-6173 |
| NPI Number | 1255018685 |
|---|---|
| Provider Enumeration Date | 06/28/2023 |
| Last Update Date | 06/28/2023 |
| Certification Date | 06/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255018685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Robert Allen Stubbs Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 Ann St, West Fork, AR 72774 Phone: 479-670-7453 |