Provider Demographics
NPI:1720322001
Name:PREKINDER BEGINNING PREP ACADEMY
Entity Type:Organization
Organization Name:PREKINDER BEGINNING PREP ACADEMY
Other - Org Name:HANDS THAT HELP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GAYLE
Authorized Official - Middle Name:HALE
Authorized Official - Last Name:LAMBERT
Authorized Official - Suffix:
Authorized Official - Credentials:SPECIAL EDUCATION
Authorized Official - Phone:501-765-5509
Mailing Address - Street 1:3200 GILMAN ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72204-5850
Mailing Address - Country:US
Mailing Address - Phone:501-765-5509
Mailing Address - Fax:
Practice Address - Street 1:3200 GILMAN ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72204-5850
Practice Address - Country:US
Practice Address - Phone:501-765-5509
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-27
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR132737786Medicaid
AR193871778Medicaid