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NPI Code Detail

MEDICARE: ARIES LEARNING & THERAPY LLC

MEDICARE: ARIES LEARNING & THERAPY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist
2225100000XPhysical Therapist
3225X00000XOccupational Therapist

General Provider Information

NPI Number : 1104773639
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARIES LEARNING & THERAPY LLC
Provider Business Mailing Address
First Line : 234 E RIDGEWOOD
Second Line :
City : ALEXANDER
State : AR
Zip : 72002-7926
Country : US
Telephone Number : 501-672-6908
Fax Number :
Provider Business Practice Location Address
First Line : 1201 W LONG HILLS RD
Second Line :
City : BENTON
State : AR
Zip : 72019-1779
Country : US
Telephone Number : 501-316-4137
Fax Number :
Authorized Official
Title or Position : OWNER/MANAGING MEMBER
Name : JACQUELYN LARISSA DIXON
Credential :
Telephone Number : 501-672-6908
Provider Enumeration Date : 03/13/2026
Last Update Date : 03/13/2026

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Directions to “ARIES LEARNING & THERAPY LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.