RIVER VALLEY ABA SERVICES INC. NPI 1285300459

NPI Information

  • NPI: 1285300459
  • Provider Name: RIVER VALLEY ABA SERVICES INC.
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • CLIA Number: 04D2113940
  • Address: 3205 W MAIN ST
    RUSSELLVILLE, AR
    ZIP 72801
  • Phone: (479) 968-1198

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NPI Details

RIVER VALLEY ABA SERVICES INC. is a clinic center in Russellville, AR. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). RIVER VALLEY ABA SERVICES INC. NPI is 1285300459. The provider is registered as an organization entity type.

The provider's business location address is:

3205 W MAIN ST
RUSSELLVILLE, AR
ZIP 72801-301
Phone: (479) 968-1198

The provider's authorized official is Dana Warren .
The authorized official title is Owner and has the following contact phone number (479) 477-0385.

The CLIA number assigned to this NPI record is 04D2113940 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/18/2021 and was last updated on 8/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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