Provider Demographics
NPI:1942801543
Name:LEARNING AND BEHAVIOR CONSULTING LLC
Entity Type:Organization
Organization Name:LEARNING AND BEHAVIOR CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:MRLA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:479-418-9584
Mailing Address - Street 1:364 JTL PKWY E
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72762-8414
Mailing Address - Country:US
Mailing Address - Phone:479-418-9584
Mailing Address - Fax:479-763-0059
Practice Address - Street 1:364 JTL PKWY E
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72762-8414
Practice Address - Country:US
Practice Address - Phone:479-418-9584
Practice Address - Fax:479-763-0059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-02
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty