Organization
SOCIALSPACE ABA THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON RAY SIKES (MEMBER)
(870) 897-5496
Entity
Organization
Contact information
Practice address
4112 WETHERFIELD CV, JONESBORO, AR 72405-8035
(870) 897-5496
Mailing address
4112 WETHERFIELD CV, JONESBORO, AR 72405-8035
(870) 897-5496
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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