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General NPI Number Information
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NPI Number | 1336683721
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Entity Type | Organization
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Legal Business Name | LEARNING AND BEHAVIOR SOLUTIONS, LLC.
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Dates
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Enumeration Date | 12/05/2016
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 1022 JONES RD STE 2
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City | SPRINGDALE
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State | AR
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Zip | 72762-0705
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Country | US
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Telephone | 479-418-9584
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Fax |
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Provider Business Mailing Address
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Address Line | 1022 JONES RD STE 2
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City | SPRINGDALE
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State | AR
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Zip | 72762-0705
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Country | US
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Telephone | 479-318-2300
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | TRAVIS KMITA
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Credential |
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Telephone | 615-294-0088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Proprietary Identifiers Ever Reported
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Identifier #1
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Identifier Code | 216666706
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Identifier Type | MEDICAID
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Identifier State | AR
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Identifier Issuer |
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