Provider Demographics
NPI:1063039980
Name:FIRST STEP ARKANSAS, LLC
Entity Type:Organization
Organization Name:FIRST STEP ARKANSAS, LLC
Other - Org Name:ARKIDS PEDIATRIC DAY CENTER TRUMANN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:ASTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-336-0238
Mailing Address - Street 1:2911 LONGVIEW DR
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401
Mailing Address - Country:US
Mailing Address - Phone:870-336-0238
Mailing Address - Fax:
Practice Address - Street 1:528 INDUSTRIAL PARK ACCESS RD
Practice Address - Street 2:
Practice Address - City:TRUMANN
Practice Address - State:AR
Practice Address - Zip Code:72472
Practice Address - Country:US
Practice Address - Phone:870-418-1071
Practice Address - Fax:870-418-1086
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FIRST STEP ARKANSAS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-06-26
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty