Provider Demographics
NPI:1770033730
Name:ALL CHILDREN CAN LEARN LLC
Entity Type:Organization
Organization Name:ALL CHILDREN CAN LEARN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROOME
Authorized Official - Suffix:
Authorized Official - Credentials:MS BCBA
Authorized Official - Phone:228-623-5454
Mailing Address - Street 1:211 E OAK ST APT 8
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-4236
Mailing Address - Country:US
Mailing Address - Phone:228-623-5454
Mailing Address - Fax:888-977-2153
Practice Address - Street 1:211 E OAK ST APT 8
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-4236
Practice Address - Country:US
Practice Address - Phone:228-623-5454
Practice Address - Fax:888-977-2153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-13
Last Update Date:2016-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1096490103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1096490OtherBCBA CERTIFICATION NUMBER