BLACK HILLS BEHAVIOR, LLC

RAPID CITY, SD
NPI1619442522
Doing Business AsIMPACT LEARNING & DEVELOPMENT
Entity TypeOrganization
Authorized ContactNANCY L PRUITT
Owner
605-206-5004
Organization Subpart ?No
Primary Taxonomy103K00000X Behavior Analyst
Additional Taxonomies224Z00000X Occupational Therapy Assistant
225100000X Physical Therapist
2251P0200X Physical Therapist, Pediatrics
225200000X Physical Therapy Assistant
225X00000X Occupational Therapist
225XP0200X Occupational Therapist, Pediatrics
106E00000X Assistant Behavior Analyst
106S00000X Behavior Technician
2355S0801X Specialist/Technologist, Speech-Language Assistant
235Z00000X Speech-Language Pathologist,
Enumeration Date2018-10-06
Last Update Date2021-04-22
Business Address
BLACK HILLS BEHAVIOR, LLC
2475 W CHICAGO ST
RAPID CITY, SD 57702-2467
Phone number: 605-206-5004
Mailing Address
BLACK HILLS BEHAVIOR, LLC
2475 W CHICAGO ST
RAPID CITY, SD 57702-2467
Phone number: 605-206-5004