Poppy Children'S Center, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

POPPY CHILDREN'S CENTER, LLC

Practice address

784 S Clearwater Loop Ste B
Post Falls, ID 83854-9599

Phone

(630) 240-4437

NPI assigned

Mar 17, 2022

Organization subpart

No

Name

Christina Imgrund, MA

Title

Co-Owner

Phone

(630) 240-4437

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2022.

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1700534765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 S CLEARWATER LOOP STE B",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838549599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 S CLEARWATER LOOP STE B",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838549599",
            "telephone_number": "630-240-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPPY CHILDREN'S CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "IMGRUND",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "630-240-4437",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.