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NPI Code Detail

MEDICARE: EMERGENT LEARNING LLC

MEDICARE: EMERGENT LEARNING 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
1106S00000XBehavior Technician
2235Z00000XSpeech-Language Pathologist
3103K00000XBehavior Analyst

General Provider Information

NPI Number : 1639955420
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMERGENT LEARNING LLC
Provider Business Mailing Address
First Line : PO BOX 240
Second Line :
City : NAPERVILLE
State : IL
Zip : 60566-0240
Country : US
Telephone Number : 417-324-7777
Fax Number : 630-521-5610
Provider Business Practice Location Address
First Line : 840 E PRIMROSE ST
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65807-5254
Country : US
Telephone Number : 417-324-7777
Fax Number : 630-521-5610
Authorized Official
Title or Position : BCBA-D
Name : MARK DIXON
Credential :
Telephone Number : 630-566-0506
Provider Enumeration Date : 09/06/2023
Last Update Date : 04/06/2026

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Directions to “EMERGENT LEARNING LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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