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NPI Code Detail

MEDICARE: LETS PLAY ABA LLC

MEDICARE: LETS PLAY ABA 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
1106S00000XBehavior Technician
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1992405021
Entity Type Code : Organization
Provider Name (Legal Business Name) : LETS PLAY ABA LLC
Provider Business Mailing Address
First Line : 140 RIVERS DR
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71913-7015
Country : US
Telephone Number : 501-596-1711
Fax Number :
Provider Business Practice Location Address
First Line : 906 HOBSON AVE
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71913-3403
Country : US
Telephone Number : 501-566-4796
Fax Number : 501-501-2117
Authorized Official
Title or Position : OWNER
Name : DESIRAE BENCHOFF
Credential :
Telephone Number : 501-566-4796
Provider Enumeration Date : 03/07/2023
Last Update Date : 02/04/2025

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Directions to “LETS PLAY ABA LLC ” Practice Location

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