Provider Demographics
NPI: | 1275310658 |
---|---|
Name: | LEARNING & BEHAVIOR CONSULTING, LLC |
Entity type: | Organization |
Organization Name: | LEARNING & BEHAVIOR CONSULTING, LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | FOUNDER & PRESIDENT |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | TIFFANY |
Authorized Official - Middle Name: | KRISTIN |
Authorized Official - Last Name: | MRLA |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | BCBA |
Authorized Official - Phone: | 479-974-1339 |
Mailing Address - Street 1: | 7253 W SUNSET AVE STE C-121 |
Mailing Address - Street 2: | |
Mailing Address - City: | SPRINGDALE |
Mailing Address - State: | AR |
Mailing Address - Zip Code: | 72762-0989 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 479-418-9584 |
Mailing Address - Fax: | 479-662-4756 |
Practice Address - Street 1: | 7253 W SUNSET AVE STE C-121 |
Practice Address - Street 2: | |
Practice Address - City: | SPRINGDALE |
Practice Address - State: | AR |
Practice Address - Zip Code: | 72762-0989 |
Practice Address - Country: | US |
Practice Address - Phone: | 479-418-9584 |
Practice Address - Fax: | 479-662-4756 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2023-09-11 |
Last Update Date: | 2025-01-29 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 103K00000X | Behavioral Health & Social Service Providers | Behavior Analyst | Group - Single Specialty | |
No | 103G00000X | Behavioral Health & Social Service Providers | Clinical Neuropsychologist | Group - Multi-Specialty | |
No | 103TM1800X | Behavioral Health & Social Service Providers | Psychologist | Intellectual & Developmental Disabilities | Group - Multi-Specialty |
No | 104100000X | Behavioral Health & Social Service Providers | Social Worker | Group - Multi-Specialty | |
No | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | Group - Multi-Specialty | |
No | 222Q00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Developmental Therapist | Group - Multi-Specialty | |
No | 224Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Group - Multi-Specialty | |
No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
No | 2355S0801X | Speech, Language and Hearing Service Providers | Specialist/Technologist | Speech-Language Assistant | Group - Multi-Specialty |
No | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty | |
No | 252Y00000X | Agencies | Early Intervention Provider Agency | ||
No | 261QD1600X | Ambulatory Health Care Facilities | Clinic/Center | Developmental Disabilities | |
No | 385HR2060X | Respite Care Facility | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities, Child | Group - Multi-Specialty |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
AR | 293451790 | Medicaid | |
AR | 293863790 | Medicaid |