Organization
KIDS UNLIMITED LEARNING ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY DECKER MCD, CCC-SLP (CEO)
(870) 761-6680
Entity
Organization
Contact information
Practice address
2792 S 2ND ST, SUITES B & C, CABOT, AR 72023-7020
(870) 761-6680
Mailing address
1901 PINE VALLEY LN, JONESBORO, AR 72404-8435
(870) 761-6680
(501) 246-7919
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199934742
—
AR
Enumeration date
07/01/2013
Last updated
08/14/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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