Healthcare Provider Details

I. General information

NPI: 1104773639
Provider Name (Legal Business Name): ARIES LEARNING & THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2026
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 W LONG HILLS RD
BENTON AR
72019-1779
US

IV. Provider business mailing address

234 E RIDGEWOOD
ALEXANDER AR
72002-7926
US

V. Phone/Fax

Practice location:
  • Phone: 501-316-4137
  • Fax:
Mailing address:
  • Phone: 501-672-6908
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: JACQUELYN LARISSA DIXON
Title or Position: OWNER/MANAGING MEMBER
Credential:
Phone: 501-672-6908