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Temple Memorial Pediatric Center Inc.
Comprehensive Outpatient Rehabilitation Facility (CORF) in Texarkana, Texas
NPI 1972654663

Temple Memorial Pediatric Center Inc. is a Comprehensive Outpatient Rehabilitation Facility (CORF) based in Texarkana, TX and is specialized in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF). Temple Memorial Pediatric Center Inc. practices in Texarkana, TX. The NPI Number for Temple Memorial Pediatric Center Inc. is 1972654663 and holds a License No. (Texas).

The current practice location address for Temple Memorial Pediatric Center Inc. is 1710 Moores Ln, Texarkana, TX and can be reached out via phone at 903-794-2705 and via fax at 903-793-1203.

Location: 1710 Moores Ln, Texarkana, TX, 75503-1858
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972654663
Provider Name
Temple Memorial Pediatric Center Inc.
Credential
Provider Entity Type
Organization
Address
1710 Moores Ln, Texarkana, TX, 75503-1858
Phone Number
903-794-2705
Fax Number
903-793-1203
Provider Enumeration Date
01/16/2007
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8P097 01 TX ARKANSAS BCBS
116506742 05 AR
00T7468 01 TX BCBS OF TEXAS
021289601 05 TX
institution
Provider Business Practice Location Address Details
Address
1710 Moores Ln
City
Texarkana
State
Texas
Zip
75503-1858
Phone Number
903-794-2705
Fax Number
903-793-1203
person
Provider Business Mailing Address Details
Address
1710 Moores Ln
City
Texarkana
State
Texas
Zip
75503-1858
Phone Number
903-794-2705
Fax Number
903-793-1203
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Behavior Analyst
Speciality
-
Taxonomy
103K00000X
License No.
009425 (Texas)
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Taxonomy
261QR0401X
License No.
()
Definition
Definition to come...
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