Organization
CHANG THERAPIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNZIE TINGLE CHANG BCBA (OWNER)
(662) 255-7818
Entity
Organization
Contact information
Practice address
44 PINE MANOR DR, LITTLE ROCK, AR 72207-5151
(662) 255-7818
Mailing address
44 PINE MANOR DR, LITTLE ROCK, AR 72207-5151
(662) 255-7818
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841762846
—
AR
Enumeration date
07/25/2022
Last updated
07/25/2022
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