Organization
BEHAVIORAL LEARNING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GINGER D CRABTREE BCBA, LBA (OWNER)
(417) 616-3180
Entity
Organization
Contact information
Practice address
230 N BELCREST AVE, SUITE B, SPRINGFIELD, MO 65802-6288
(417) 616-3180
(417) 631-4996
Mailing address
230 N BELCREST AVE, SUITE B, SPRINGFIELD, MO 65802-6288
(417) 616-3180
(417) 631-4996
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2012013743
MO
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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Other
Enumeration date
06/03/2013
Last updated
09/23/2015
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