TEXARKANA BEHAVIORAL ASSOCIATES LC (NPI# 1477682649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477682649 |
| Entity Type | Organization |
| Organization Name | TEXARKANA BEHAVIORAL ASSOCIATES LC |
| Other Organization Name | VISTA HEALTH |
| Practice Address |
3352 N Futrall Dr Fayetteville AR 72703-4057 |
| Mailing Address |
4253 N Crossover Rd Fayetteville AR 72703-4593 |
| Practice Telephone | 4794436496 |
| Practice Fax Number | 4795214926 |
| Mailing Telephone | 4795215731 |
| Mailing Fax Number | 4795214926 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CONNIE M BORENGASSER (CEO) |
| Authorized Official Telephone | 4795215731 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Other Name | Type Code |
|---|---|
| VISTA HEALTH | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225244676 | Texarkana Behavioral Associates Lc | Psychiatry & Neurology | 10301 Mayo Dr, Barling, AR 72923-1660 | 2007-05-15 |
| 1114040888 | Texarkana Behavioral Associates Lc | Psychiatry & Neurology | 4253 N Crossover Rd, Fayetteville, AR 72703-4593 | 2007-04-09 |
| 1295864478 | Texarkana Behavioral Associates Lc | Day Training, Developmentally Disabled Services | 10301 Mayo Dr, Barling, AR 72923-1660 | 2007-03-05 |
| 1386773554 | Texarkana Behavioral Associates Lc | Day Training, Developmentally Disabled Services | 2003 Se Walton Blvd, Bentonville, AR 72712-3725 | 2007-03-05 |
| 1467485680 | Texarkana Behavioral Associates Lc | Psychiatric Hospital | 801 Arkansas Blvd, Texarkana, AR 71854-2107 | 2006-07-09 |
| Street Address |
3352 N FUTRALL DR |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-4057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538125638 | Hollis T Rogers IIi | Colon & Rectal Surgery | 3352 N Futrall Dr, Fayetteville, AR 72703-4057 | 2006-04-26 |
| 1386070027 | Irlna Ingrid Tantchou | Colon & Rectal Surgery | 3352 N Futrall Dr, Fayetteville, AR 72703-4057 | 2013-09-25 |
| 1356654073 | Mandy Stanek | Counselor | 3352 N Futrall Dr, Fayetteville, AR 72703-4057 | 2010-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619335908 | A Touch of Grace, Inc. | Day Training, Developmentally Disabled Services | 544 Rock Canyon Dr, Fayetteville, NC 28303-3275 | 2016-02-02 |
| 1659745438 | A Touch of Grace Inc | Day Training, Developmentally Disabled Services | 221 Pierron Dr, Fayetteville, NC 28303-2331 | 2015-11-17 |
| 1386026508 | A Touch of Grace Inc | Day Training, Developmentally Disabled Services | 2526 Vestal Ave, Fayetteville, NC 28301-2442 | 2015-06-24 |
| 1700270998 | Kaleo Supports, Inc. | Day Training, Developmentally Disabled Services | 7618 Firethorn Dr, Fayetteville, NC 28311-9215 | 2015-03-25 |
| 1295126480 | A Touch of Grace Inc | Day Training, Developmentally Disabled Services | 227 Pierron Dr, Fayetteville, NC 28303-2331 | 2015-02-10 |
| 1467840520 | A Touch of Grace Inc | Day Training, Developmentally Disabled Services | 6698 Vaughn Rd, Fayetteville, NC 28304-6009 | 2014-12-24 |
| 1114325834 | A Touch of Grace Inc | Day Training, Developmentally Disabled Services | 6512 Kemper Ct, Fayetteville, NC 28303-2326 | 2014-12-11 |
| 1013312446 | The Janice Mae Hawkins Foundation, Inc. | Day Training, Developmentally Disabled Services | 3359 Gables Dr, Fayetteville, NC 28301-7648 | 2014-10-28 |
| 1366845901 | Kaleo Supports, Inc. | Day Training, Developmentally Disabled Services | 6419 Rutherglen Dr, Fayetteville, NC 28304-3928 | 2014-09-26 |
| 1598183105 | New Beginnings of North Carolina, LLC | Day Training, Developmentally Disabled Services | 3717 Florida Drive Ext, Fayetteville, NC 28311-2713 | 2014-04-01 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
Please comment or provide details below to improve the information on TEXARKANA BEHAVIORAL ASSOCIATES LC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.