Blacsheep Family And Autism

LBN: Blacsheep Family And Autism
Blacsheep Family And Autism is an health care organization with primary practice located at 6104 Greenville Ave. , North Little Rock AR 72118-7211. The organization recently has 11 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, Agencies / Local Education Agency (LEA), Agencies / Day Training, Developmentally Disabled Services, Agencies / Home Health, Agencies / Early Intervention Provider Agency, Suppliers / Customized Equipment, Nursing Service Related Providers / Personal Care Attendant. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist is the primary health care specialty. Blacsheep Family And Autism can be contacted via phone (501) 471-8580, or through Thompson, De'Dra N via phone (501) 471-8566.

Contact Information

Primary practice address
6104 Greenville Ave. North Little Rock AR 72118-7211
Phone: (501) 471-8580
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Thompson, De'Dra N
Phone: (501) 471-8566

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist 225800000X
Agencies / Local Education Agency (LEA) 251300000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Home Health 251E00000X
Agencies / Early Intervention Provider Agency 252Y00000X
Suppliers / Customized Equipment 332BC3200X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1710696893
LBN Legal business name Blacsheep Family And Autism
DBA Doing business as
Authorized official Thompson, De'Dra N
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2022
Last updated Jan 28th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710696893 NPPES
Arkansas MEDICAID 295491706

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