Provider Demographics
NPI:1275885949
Name:BOND-MARTIN, B. AARON (MS, LADAC,AADC)
Entity Type:Individual
Prefix:
First Name:B.
Middle Name:AARON
Last Name:BOND-MARTIN
Suffix:
Gender:M
Credentials:MS, LADAC,AADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1878
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72115-1878
Mailing Address - Country:US
Mailing Address - Phone:501-291-3489
Mailing Address - Fax:
Practice Address - Street 1:10201 W MARKHAM ST STE 234
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-2128
Practice Address - Country:US
Practice Address - Phone:501-291-3489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-05
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANCPT2014-199167G00000X
ARA465101YA0400X
3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No167G00000XNursing Service ProvidersLicensed Psychiatric Technician
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)