Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Pine Tree ABA Therapy LLC

Organization Behavior Analyst · NPI 1205730785

Pine Tree ABA Therapy LLC provides Behavior Analyst services in Fayetteville, Arkansas. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4210 N Frontage Rd Ste E
Fayetteville, AR 72703-5036
Phone: (479) 480-5804
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1205730785
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Asher Lax — Member · (479) 480-5804
NPI enumeratedOctober 7, 2026
Last updated in NPPESOctober 7, 2026
Certification dateOctober 7, 2026
Mailing address3604 Nw Frontage Rd Ste 6, Bentonville, AR 72712-9254

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