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KIDSPIRATION BEHAVIORAL HEALTH NPI 1558908780


NPI Information

NPI: 1558908780
Provider Name: KIDSPIRATION BEHAVIORAL HEALTH
Classification: Pediatrics - 2080P0006X
Entity Type: Organization

Specialization: Developmental - Behavioral Pediatrics

Address:
1310 BRADLEY DR
MOUNTAIN HOME, AR
ZIP 72653
Phone: (870) 424-4021
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KIDSPIRATION BEHAVIORAL HEALTH is a developmental - behavioral pediatrics pediatrics in Mountain Home, AR. The provider is a developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. KIDSPIRATION BEHAVIORAL HEALTH NPI is 1558908780. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1310 BRADLEY DR
MOUNTAIN HOME, AR
ZIP 72653-730
Phone: (870) 424-4021
Fax: (870) 424-4112

The provider's authorized official is Jolene Shockey .
The authorized official title is Billing Manager and has the following contact phone number (870) 424-4021.

The enumeration date for this NPI number is 12/6/2019 and was last updated on 12/6/2019.


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
12080P0006XPediatricsDevelopmental - Behavioral PediatricsYes

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: 11/14/2023

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