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Behavioral Analyst

Phoenix, Arizona

Provider NPI: 1760621379

Organization Information:
Organization is not Subpart
Authorized Official:  AARON  BLOCHER-RUBIN  CHIEF EXECUTIVE OFFICER  602-7735774

Practice Location:
Tel: 602-773-5773  Fax: 602-273-9108

Business Mailing Address:
Tel: 602-773-5773  Fax: 602-273-9108

Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number

N2355S0801XSpeech, Language and Hearing Service Providers
N235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
Community/Behavioral Health
Early Intervention Provider Agency
Day Training, Developmentally Disabled Services

Other Provider Identifiers:

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin


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