Provider Demographics
NPI:1992405021
Name:LETS PLAY ABA LLC
Entity type:Organization
Organization Name:LETS PLAY ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DESIRAE
Authorized Official - Middle Name:
Authorized Official - Last Name:BENCHOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-566-4796
Mailing Address - Street 1:140 RIVERS DR
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-7015
Mailing Address - Country:US
Mailing Address - Phone:501-596-1711
Mailing Address - Fax:
Practice Address - Street 1:906 HOBSON AVE
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-3403
Practice Address - Country:US
Practice Address - Phone:501-566-4796
Practice Address - Fax:501-501-2117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-07
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty