| Eighty-twenty Learning For Asd, Llc | |
|
260 County Road 375 Bono AR 72416-7661 | |
| (870) 926-9259 | |
| Not Available |
| Full Name | Eighty-twenty Learning For Asd, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 260 County Road 375, Bono, Arkansas |
| Authorized Official Name and Position | Leslie Glidewell (OWNER/BCBA) |
| Authorized Official Contact | 8709269259 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eighty-twenty Learning For Asd, Llc 260 County Road 375 Bono AR 72416-7661 Ph: (870) 926-9259 | Eighty-twenty Learning For Asd, Llc 260 County Road 375 Bono AR 72416-7661 Ph: (870) 926-9259 |
| NPI Number | 1902573496 |
|---|---|
| Provider Enumeration Date | 08/24/2021 |
| Last Update Date | 08/24/2021 |
| Certification Date | 08/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902573496 | NPI | - | NPPES |
| 1619507324 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |