Organization
ABC CHILDREN'S ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK WARREN (OWNER)
(479) 968-1198
Entity
Organization
Contact information
Practice address
306 E 11TH ST, RUSSELLVILLE, AR 72801-6156
(479) 968-5048
Mailing address
500 E 3RD ST, RUSSELLVILLE, AR 72801-5204
(479) 968-5048
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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