Taylor Courteau

Individual provider Active NPI Day Training/Habilitation Specialist · Springdale, AR

NPI 1699526780 · NPPES record last updated Mar 28, 2024

Key facts

NPI
1699526780
Entity type
Individual (NPI type 1)
Primary specialty
Day Training/Habilitation Specialist 373H00000X
Practice address
1268 Electric Ave
Springdale, AR 72764-7498
Phone
(479) 777-2800
NPI assigned
Mar 28, 2024
Sex
Female
Sole proprietor
No

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Miracle Kids Success Academy Central Current
since Feb 23, 2025
Accepting new patients

Locations

3127 Southwest Dr
Jonesboro, AR 72404

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation Specialist 373H00000X Yes

Addresses

Primary practice location

1268 Electric Ave
Springdale, AR 72764-7498

Mailing address

3127 Southwest Dr
Jonesboro, AR 72404-8404
Phone (870) 336-8100

Other providers in Springdale, AR

All providers in Springdale, AR · Day Training/Habilitation Specialist in Arkansas

Sources for this page

Verify at the official NPI Registry.