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TEXARKANA BEHAVIORAL ASSOCIATES LC NPI 1386773554


NPI Information

NPI: 1386773554
Provider Name: TEXARKANA BEHAVIORAL ASSOCIATES LC

Doing Business As: VISTA HEALTH

Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
2003 SE WALTON BLVD
BENTONVILLE, AR
ZIP 72712
Phone: (479) 464-8081
Get Directions

TEXARKANA BEHAVIORAL ASSOCIATES LC is a day training developmentally disabled services in Bentonville, AR. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. TEXARKANA BEHAVIORAL ASSOCIATES LC NPI is 1386773554. The provider is registered as an organization entity type.
The provider Is Doing Business As Vista Health.

The provider's business location address is:

2003 SE WALTON BLVD
BENTONVILLE, AR
ZIP 72712-725
Phone: (479) 464-8081
Fax: (479) 464-0674

The provider's authorized official is Brian P. Farley .
The authorized official title is Vice President & Secretary and has the following contact phone number (615) 861-6000.

The enumeration date for this NPI number is 3/5/2007 and was last updated on 8/27/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251C00000XDay Training, Developmentally Disabled ServicesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1152352726MEDICAIDARKANSAS

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: 4/28/2024

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