Provider Demographics
NPI:1912631185
Name:HILL, MAGGIE LEIGH (MA, BCBA)
Entity Type:Individual
Prefix:
First Name:MAGGIE
Middle Name:LEIGH
Last Name:HILL
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17706 INTERSTATE 30 N
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72019-2907
Mailing Address - Country:US
Mailing Address - Phone:501-315-4414
Mailing Address - Fax:
Practice Address - Street 1:17706 INTERSTATE 30 N
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:AR
Practice Address - Zip Code:72019-2907
Practice Address - Country:US
Practice Address - Phone:501-315-4414
Practice Address - Fax:501-315-0075
Is Sole Proprietor?:No
Enumeration Date:2022-07-13
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
1-23-68394103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician