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General NPI Number Information
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NPI Number | 1992405021
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Entity Type | Organization
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Legal Business Name | LETS PLAY ABA LLC
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Dates
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Enumeration Date | 03/07/2023
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 906 HOBSON AVE
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City | HOT SPRINGS
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State | AR
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Zip | 71913-3403
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Country | US
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Telephone | 501-566-4796
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Fax | 501-501-2117
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Provider Business Mailing Address
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Address Line | 140 RIVERS DR
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City | HOT SPRINGS
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State | AR
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Zip | 71913-7015
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Country | US
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Telephone | 501-596-1711
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DESIRAE BENCHOFF
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Credential |
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Telephone | 501-566-4796
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #2
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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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