Organization Active NPI

Pluto Care Limited Liability Company

  • Behavior Analyst
  • Fayetteville, AR
National Provider Identifier
1114723574
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PLUTO CARE LIMITED LIABILITY COMPANY
Practice address
596 N Mulligan Dr
Fayetteville, AR 72704-7518
Phone
(479) 458-4857
NPI assigned
Feb 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. XI Lan, BCBANPI 1083425987
Title
Manager
Phone
(479) 458-4857

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

596 N Mulligan Dr
Fayetteville, AR 72704-7518

Mailing address

596 N Mulligan Dr
Fayetteville, AR 72704-7518
Phone (479) 458-4857

Other practice location 1

596 N Mulligan Dr
Fayetteville, AR 72704-7518
Phone (479) 458-4857

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1114723574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 N MULLIGAN DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727047518",
            "telephone_number": "479-458-4857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 N MULLIGAN DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727047518",
            "telephone_number": "479-458-4857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "596 N Mulligan Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727047518",
            "country_code": "US",
            "telephone_number": "479-458-4857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PLUTO CARE LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "LAN",
        "authorized_official_first_name": "XI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "479-458-4857",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.