Eighty-Twenty Learning for Asd, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

EIGHTY-TWENTY LEARNING FOR ASD, LLC

Doing business as

Eighty-Twenty Learning for ASD, LLC

Practice address

260 County Road 375
Bono, AR 72416-7661

Phone

(870) 926-9259

NPI assigned

Aug 24, 2021

Last updated

Aug 24, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leslie GlidewellNPI 1619507324

Title

Owner/Bcba

Phone

(870) 926-9259

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eighty-Twenty Learning for ASD, LLC Doing business as

Electronic endpoints 1

Locations

Practitioners 7

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.

• Leslie Glidewell, MED

  • Behavior Analyst
  • Bono, AR
  • NPI 1619507324
  NPD Authorized official
• Alexis Boatman

  • Occupational Therapy Assistant
  • Jonesboro, AR
  • NPI 1013757061
  NPD (past)
• Jamie Brooks

  • Behavior Technician
  • Jonesboro, AR
  • NPI 1174316079
  NPD (past)
• Morgan Paige Ditto

  • Behavior Technician
  • Jonesboro, AR
  • NPI 1619760568
  NPD (past)
• Carly Low

  • Behavior Technician
  • Jonesboro, AR
  • NPI 1013700814
  NPD (past)
• Isabella Mosley

  • Behavior Technician
  • Jonesboro, AR
  • NPI 1770376675
  NPD (past)
• Somer Wright

  • Behavior Technician
  • Jonesboro, AR
  • NPI 1538951660
  NPD (past)

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1902573496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 COUNTY ROAD 375",
            "city": "BONO",
            "state": "AR",
            "postal_code": "724167661",
            "telephone_number": "870-926-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 COUNTY ROAD 375",
            "city": "BONO",
            "state": "AR",
            "postal_code": "724167661",
            "telephone_number": "870-926-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EIGHTY-TWENTY LEARNING FOR ASD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "GLIDEWELL",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER/BCBA",
        "authorized_official_telephone_number": "870-926-9259"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619507324",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lmglidewell@supports.org",
            "affiliation": "N",
            "address_1": "260 County Road 375",
            "city": "Bono",
            "state": "AR",
            "country_code": "US",
            "postal_code": "724167661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Eighty-Twenty Learning for ASD, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alissa Brooke Deprow, COTA/L
• Stacy Deshaw
• Stephanie Nicole Duffel, APN
• Mollybeth Dunlap
• Rori N Dunlap
• Addison Jayde Escue
• Amanda Gail Escue, BCBA, MCD, CCC-SLP
• Carlos Adrian Espericueta
• Alison Gamso
• Jamisen Jewell Gauntt

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.