Organization
CORNERSTONE ABA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELIA SMITH PHD (PSYCHOLOGIST)
(501) 730-3578
Entity
Organization
Contact information
Practice address
611 COURT ST STE 1, CONWAY, AR 72032-5417
(501) 940-4435
Mailing address
611 COURT ST STE 1, CONWAY, AR 72032-5417
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-6895
—
103T00000X
Psychologist
0618P
AR
103TS0200X
School Psychologist
99-5E
AR
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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