MEDICARE: EMERGENT LEARNING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	235Z00000X	Speech-Language Pathologist
2	104100000X	Social Worker
3	225X00000X	Occupational Therapist
4	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1972135606
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	:	314-275-0506
Fax Number	:	314-463-4937

Provider Business Practice Location Address
First Line	:	11780 BORMAN DR STE 400
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63146-4135
Country	:	US
Telephone Number	:	314-275-0506
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARK DIXON
Credential	:
Telephone Number	:	314-275-0506

Provider Enumeration Date	:	02/11/2020
Last Update Date	:	02/04/2026

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Directions to “EMERGENT LEARNING LLC ” Practice Location

Language	Start Address	Practice Location

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