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NPI Code Detail

MEDICARE: A BETTER LEARNING ENVIRONMENT LLC

MEDICARE: A BETTER LEARNING ENVIRONMENT 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
1224Z00000XOccupational Therapy Assistant
2224ZF0002XFeeding, Eating & Swallowing Occupational Therapy Assistant
3225100000XPhysical Therapist
4225200000XPhysical Therapy Assistant
52355S0801XSpeech-Language Assistant
6235Z00000XSpeech-Language PathologistSLP6283AZ
7251S00000XCommunity/Behavioral Health Agency
8235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1255698817
Entity Type Code : Organization
Provider Name (Legal Business Name) : A BETTER LEARNING ENVIRONMENT LLC
Provider Business Mailing Address
First Line : 22424 S ELLSWORTH LOOP RD UNIT 464
Second Line :
City : QUEEN CREEK
State : AZ
Zip : 85142-7070
Country : US
Telephone Number : 480-575-2253
Fax Number :
Provider Business Practice Location Address
First Line : 1075 S IDAHO RD STE 210B
Second Line :
City : APACHE JUNCTION
State : AZ
Zip : 85119-6405
Country : US
Telephone Number : 480-757-2253
Fax Number :
Authorized Official
Title or Position : OWNER/SPEECH LANGUAGE PATHOLOGIST
Name : SHANNON FARRELL
Credential : M.S., CCC-SLP
Telephone Number : 480-757-2253
Provider Enumeration Date : 04/19/2012
Last Update Date : 02/26/2021

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Directions to “A BETTER LEARNING ENVIRONMENT LLC ” Practice Location

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