Individual provider Active NPI

Serenity Kay Maxwell

  • Behavior Technician
  • Conway, AR
National Provider Identifier
1245051028
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
2740 College Ave
Conway, AR 72034-6141
Phone
(501) 329-5459
NPI assigned
Oct 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X AR Primary

Addresses

Primary practice location

2740 College Ave
Conway, AR 72034-6141

Mailing address

2015 Rumker Rd
Conway, AR 72032-4506
Phone (501) 294-8533

Other practice location 1

111 Greystone Dr
Greenbrier, AR 72058-9810
Phone (501) 944-0498

Other names 1

  • Serenity Pruitt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
A Better Approach ABA Inc CurrentSince Oct 27, 2024 Accepting new patients

Locations

8 S Broadview St
Ste A
Greenbrier, AR 72058
Phone (501) 289-5476

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1245051028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 RUMKER RD",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324506",
            "telephone_number": "501-294-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 COLLEGE AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346141",
            "telephone_number": "501-329-5459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Greystone Dr",
            "address_purpose": "LOCATION",
            "city": "Greenbrier",
            "state": "AR",
            "postal_code": "720589810",
            "country_code": "US",
            "telephone_number": "501-944-0498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "SERENITY",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-23",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SERENITY",
            "last_name": "PRUITT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.