Delong, Justina Louise

Delong, Justina Louise is an sole proprietor health care provider with primary practice located at 908 N Reynolds Rd , Bryant AR 72022-3034. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Delong, Justina Louise can be contacted via phone (501) 847-9711.

Contact Information

Primary practice address
908 N Reynolds Rd Bryant AR 72022-3034
Phone: (501) 847-9711
Fax: (501) 847-6929
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-19-99028 Arkansas
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-23-65312 Arkansas

Profile Details

NPI number 1285056861
LBN Legal business name Delong, Justina Louise
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 15th, 2014
Last updated Apr 25th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285056861 NPPES
Arkansas MEDICAID 299960790
Arkansas MEDICAID 207397706

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