Organization
PHOBOS BEHAVIORAL OF FARMINGTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY TYLER OWENS BCBA, NCSP, LBP (EXCUTIVE DIRECTOR)
(539) 240-4735
Entity
Organization
Contact information
Practice address
140 SOUTHWINDS RD STE 150, FARMINGTON, AR 72730-8688
(479) 267-9015
Mailing address
140 SOUTHWINDS RD STE 150, FARMINGTON, AR 72730-8688
(479) 267-9015
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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