BUDDY AARON BOND-MARTIN (NPI# 1275885949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275885949 |
| Entity Type | Individual |
| Full Name | BUDDY AARON BOND-MARTIN |
| Credential | CERTIFIED COUNSELOR |
| Practice Address |
1201 River Rd North Little Rock AR 72114-4583 |
| Mailing Address |
1921 Broken Arrow Dr North Little Rock AR 72118-3724 |
| Practice Telephone | 5015536934 |
| Mailing Telephone | 5015539634 |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2019-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CIT-B-0008 | AR | Behavioral Health & Social Service Providers |
| Y | 167G00000X | Licensed Psychiatric Technician | NCPT2014-199 | CA | Nursing Service Providers |
| Street Address |
1201 RIVER RD |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72114-4583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750656468 | Oasis Renewal Center | Substance Abuse Rehabilitation Facility | 1201 River Rd, North Little Rock, AR 72114-4583 | 2012-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316432966 | Mid State Counseling and Recovery Service | Clinic/Center | 1920 Main St Ste 229, North Little Rock, AR 72114 | 2018-06-26 |
| 1053826842 | Kelli Lauron Johnson | Nurse Practitioner | 2800 North Willow Street, North Little Rock, AR 72114 | 2017-12-03 |
| 1689117756 | State of Arkansas | Skilled Nursing Facility | 2401 John Ashley Drive, Building #100, North Little Rock, AR 72114 | 2016-11-22 |
| 1366787459 | J Andrew Mccullough | Counselor | 628 W Broadway St Ste 300, North Little Rock, AR 72114 | 2012-11-30 |
| 1598071490 | Roger Elliott Hicks IIi | Counselor | 2200 Fort Roots Dr # 3d, North Little Rock, AR 72114 | 2010-08-30 |
| 1740594456 | Tuyet Thi Van | Dentist | 520 W. Pershing Blvd., North Little Rock, AR 72114 | 2010-08-05 |
| 1467764183 | Jennifer Leigh Nash | Behavioral Analyst | 628 W Broadway St Ste 100, North Little Rock, AR 72114 | 2010-07-10 |
| 1336398544 | Tina A Davie | Registered Nurse | 2200 Foot Roots Drive, Little Rock, AR 72114 | 2008-09-11 |
| 1316125313 | Centers for Youth & Families | Community/Behavioral Health | 200 W. 20th, North Little Rock, AR 72114 | 2008-02-01 |
| 1881878064 | Marie A Graham | Nurse Practitioner | 636 West Broadway St, No Little Rock, AR 72114 | 2007-12-24 |
| Find all providers in zip 72114 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639474794 | Vicky Lynn Overton | Licensed Psychiatric Technician | 12 Leisurewood Ln, Maumelle, AR 72113-6207 | 2011-01-21 |
| 1174919336 | Lana Harrod | Licensed Psychiatric Technician | 307 E Sevier St, Benton, AR 72015-3934 | 2015-04-14 |
| 1770750002 | Cassandra Wallace | Licensed Psychiatric Technician | 4601 W 7th St, Little Rock, AR 72205-5441 | 2008-05-15 |
| 1265604706 | Claudette Lamar | Licensed Psychiatric Technician | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2008-03-25 |
| City | NORTH LITTLE ROCK |
| Zip Code | 72114 |
Please comment or provide details below to improve the information on BUDDY AARON BOND-MARTIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.