Organization
CHANGING THE CRITERION ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA WILSON (OWNER)
(870) 394-9976
Entity
Organization
Contact information
Practice address
233 W BOND AVE, WEST MEMPHIS, AR 72301-3907
(870) 394-9976
Mailing address
233 W BOND AVE, WEST MEMPHIS, AR 72301-3907
(870) 394-9976
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/07/2023
Last updated
05/27/2026
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