Individual
MASON WIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
910 S GREENWOOD AVE, FORT SMITH, AR 72901-4130
(479) 926-4673
(479) 401-2595
Mailing address
910 S GREENWOOD AVE, FORT SMITH, AR 72901-4130
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
20116516
AR
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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