MEDICARE: BEHAVIORAL FOUNDATIONS

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
1	103K00000X	Behavior Analyst	1-13-13281	TN
2	106S00000X	Behavior Technician
3	251C00000X	Developmentally Disabled Services Day Training Agency	1-13-13281	TN
4	103K00000X	Behavior Analyst

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588040240
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEHAVIORAL FOUNDATIONS

Provider Business Mailing Address
First Line	:	308 LEIGH CIR
Second Line	:
City	:	HOT SPRINGS
State	:	AR
Zip	:	71901-7717
Country	:	US
Telephone Number	:	501-382-7227
Fax Number	:

Provider Business Practice Location Address
First Line	:	308 LEIGH CIR
Second Line	:
City	:	HOT SPRINGS
State	:	AR
Zip	:	71901-7717
Country	:	US
Telephone Number	:	501-382-7227
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MELISSA SWITZER
Credential	:	PHD
Telephone Number	:	501-382-7227

Provider Enumeration Date	:	08/05/2015
Last Update Date	:	12/29/2020

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Directions to “BEHAVIORAL FOUNDATIONS ” Practice Location

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