Prospera Healthcare Arkansas LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

PROSPERA HEALTHCARE ARKANSAS LLC

Practice address

4021 W Walnut St # 1018
Rogers, AR 72756-1842

Phone

(972) 900-2488

Fax

(972) 600-2835

NPI assigned

May 10, 2022

Organization subpart

No

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

Authorized official

Name

Paige McComas

Title

Director of Operations

Phone

(972) 900-2488

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1437895646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 W WALNUT ST # 1018",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727561842",
            "telephone_number": "972-900-2488",
            "fax_number": "972-600-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 W WALNUT ST # 1018",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727561842",
            "telephone_number": "972-900-2488",
            "fax_number": "972-600-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERA HEALTHCARE ARKANSAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "MCCOMAS",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "972-900-2488"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arkansasops@prosperahealthcare.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "4021 W Walnut St # 1018",
            "city": "Rogers",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727561842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Behavior Analyst in Rogers, AR
• Providers in Rogers, AR by specialty
• Behavior Analyst in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.