Healthcare Provider Details

I. General information

NPI: 1992405021
Provider Name (Legal Business Name): LETS PLAY ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2023
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

906 HOBSON AVE
HOT SPRINGS AR
71913-3403
US

IV. Provider business mailing address

140 RIVERS DR
HOT SPRINGS AR
71913-7015
US

V. Phone/Fax

Practice location:
  • Phone: 501-566-4796
  • Fax: 501-501-2117
Mailing address:
  • Phone: 501-596-1711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: DESIRAE BENCHOFF
Title or Position: OWNER
Credential:
Phone: 501-566-4796