Organization Active NPI

Childrens Learning Team

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Jonesboro, AR
National Provider Identifier
1750907374
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
CHILDRENS LEARNING TEAM
Practice address
3700 Kristi Lake Dr Apt D11
Jonesboro, AR 72404-8373
Phone
(870) 275-1954
NPI assigned
Jun 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Authorized official

Name
Victoria Williams, DTNPI 1235360918
Title
Owner/Developmental Therapist
Phone
(870) 275-1954

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

3700 Kristi Lake Dr Apt D11
Jonesboro, AR 72404-8373

Mailing address

3700 Kristi Lake Dr Apt D11
Jonesboro, AR 72404-8373
Phone (870) 275-1954

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1750907374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 KRISTI LAKE DR APT D11",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724048373",
            "telephone_number": "870-275-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 KRISTI LAKE DR APT D11",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724048373",
            "telephone_number": "870-275-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS LEARNING TEAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER/DEVELOPMENTAL THERAPIST",
        "authorized_official_telephone_number": "870-275-1954",
        "authorized_official_credential": "DT"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.