Organization
DEVELOPMENTAL EDUCATIONAL ASSISTANCE PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA WILKINS (FINANCIAL MANAGER)
(406) 234-6034
Entity
Organization
Contact information
Practice address
2200 BOX ELDER ST, MILES CITY, MT 59301-2899
(406) 234-6034
(406) 234-7018
Mailing address
2200 BOX ELDER ST, MILES CITY, MT 59301-2899
(406) 234-6034
(406) 234-7018
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251300000X
Local Education Agency (LEA)
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0660049
—
MT
Enumeration date
12/11/2006
Last updated
01/06/2025
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