Organization
PUSH CONSULTANTS LLC
Active
Organization
PUSH CONSULTANTS LLC
Active
Other names
All Things Are Possible 4 Autism; All Things Are Possible 4 U;
Organization subpart
No
Provider details
NPI number
Authorized official
KOTEKA SHANTAL JENKINS (COO)
(903) 471-5132
Entity
Organization
Contact information
Practice address
1305 ARKANSAS BLVD STE 104, TEXARKANA, AR 71854-1691
(970) 330-9702
(870) 330-9646
Mailing address
PO BOX 5395, BOSSIER CITY, LA 71171-5395
(318) 918-0671
(903) 471-5133
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
251B00000X
Case Management Agency
—
TX
251S00000X
Community/Behavioral Health Agency
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233582526
—
AR
05
—
372338902
—
TX
05
—
372338903
—
TX
05
—
387169101
—
TX
Enumeration date
08/15/2018
Last updated
05/21/2020
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