Provider Demographics
NPI:1760613798
Name:THE FRISCO AREA LISTENING AND LEARNING CENTER LLC
Entity Type:Organization
Organization Name:THE FRISCO AREA LISTENING AND LEARNING CENTER LLC
Other - Org Name:EPIC STRIDES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MANDI
Authorized Official - Middle Name:L
Authorized Official - Last Name:REDMON
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LBA
Authorized Official - Phone:972-596-0035
Mailing Address - Street 1:4105 W SPRING CREEK PKWY
Mailing Address - Street 2:STE 602
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-5306
Mailing Address - Country:US
Mailing Address - Phone:972-596-0035
Mailing Address - Fax:972-596-8080
Practice Address - Street 1:4105 W SPRING CREEK PKWY
Practice Address - Street 2:STE 602
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-5306
Practice Address - Country:US
Practice Address - Phone:972-596-0035
Practice Address - Fax:972-596-8080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-08
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health