Abc Children'S Academy & Developmental Center-Clarksville
Organization Active NPI Developmentally Disabled Services Day Training Agency · Clarksville, AR
NPI 1154772143 · NPPES record last updated Oct 11, 2021
Key facts
- NPI
- 1154772143
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmentally Disabled Services Day Training Agency 251C00000X
- License
- 30070 (AR)
- Legal business name
- ABC CHILDREN'S ACADEMY & DEVELOPMENTAL CENTER-CLARKSVILLE
- Practice address
- 108 Cherokee LN
Clarksville, AR 72830-8014 - Phone
- (479) 647-5080
- Fax
- (479) 647-5081
- NPI assigned
- Jun 30, 2016
- Organization subpart
- No
Authorized official
- Name
- Dana Warren
- Title
- Owner
- Phone
- (479) 968-1198
Corporate family (same tax ID) 11
Practitioners 3
-
Robin Thomas, COTA
-
Jaimie T Wyatt, OTA
National Provider Directory
- Tax ID family
- Abc Children'S Academy - Clarksville Site 3
Locations
1309 N 2nd St
Dardanelle, AR 72834
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | 30070 | AR | Yes |
Addresses
Primary practice location
108 Cherokee LN
Clarksville, AR 72830-8014
Mailing address
500 E 3Rd St
Russellville, AR 72801-5204
Phone (479) 968-5048
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30070 | Other | AR | LICENSE NUMBER |
Other providers in Clarksville, AR
- 3D Physical Therapy and Sports Medicine, LLC
- Abc Children'S Academy - Clarksville Site 3
- Absolute Medical USA, Inc.
- Access Medical Clinic Arkansas LLC
- Ginny Aday
- Kristi K Aday
- Jason Addis
All providers in Clarksville, AR · Developmentally Disabled Services Day Training Agency in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.