Eighty-twenty Learning For Asd, Llc | |
260 County Road 375 Bono AR 72416-7661 | |
(870) 926-9259 | |
Not Available |
Full Name | Eighty-twenty Learning For Asd, Llc |
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Speciality | Behavior Analyst |
Location | 260 County Road 375, Bono, Arkansas |
Authorized Official Name and Position | Leslie Glidewell (OWNER/BCBA) |
Authorized Official Contact | 8709269259 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Eighty-twenty Learning For Asd, Llc 260 County Road 375 Bono AR 72416-7661 Ph: (870) 926-9259 | Eighty-twenty Learning For Asd, Llc 260 County Road 375 Bono AR 72416-7661 Ph: (870) 926-9259 |
NPI Number | 1902573496 |
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Provider Enumeration Date | 08/24/2021 |
Last Update Date | 08/24/2021 |
Certification Date | 08/24/2021 |
Identifier | Type | State | Issuer |
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1902573496 | NPI | - | NPPES |
1619507324 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
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103K00000X | Behavior Analyst | (* (Not Available)) | Primary |