Individual
MARK ALEXANDER MCKOOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2001 OAKWOOD AVE, BENTONVILLE, AR 72712-4024
(469) 203-6051
Mailing address
2001 OAKWOOD AVE, BENTONVILLE, AR 72712-4024
(469) 203-6051
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-65750
AR
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/20/2018
Last updated
08/22/2023
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