Petty, Tara Lee

Petty, Tara Lee is an individual health care provider with primary practice located at 3400 N Woods Ln , Rogers AR 72756-6712. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Petty, Tara Lee can be contacted via phone (479) 636-3190.

Contact Information

Primary practice address
3400 N Woods Ln Rogers AR 72756-6712
Phone: (479) 636-3190
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-19-37303

Profile Details

NPI number 1386169399
LBN Legal business name Petty, Tara Lee
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2017
Last updated Sep 29th, 2021 - about 4 years ago

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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