Individual
JUSTIN MICHAEL WERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
2207 COTTONDALE LN STE 2, LITTLE ROCK, AR 72202-2018
(501) 539-3553
Mailing address
1205 ADDYBROOK ST, CONWAY, AR 72032-5838
(501) 514-2033
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-55896
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/26/2019
Last updated
10/11/2024
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