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Contact Information

NEURODIVERSE NETWORK, LLC
1102 LAURELWOOD CT
JONESBORO, AR72401-5128
 Phone: 870-243-6180
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
 

Assistant Behavior Analyst

106E00000X
 

Behavior Analyst

103K00000X
 

Behavior Technician

106S00000X
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
 

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for NEURODIVERSE NETWORK LLC · (Female)

NPI # 1730988320
Status Active
Credentials
Entity Individual
Enumeration date 03/07/2025
Last updated 03/07/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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