| Academic & Behavioral Center Llc | |
|
1601 N Tucson Blvd #36 Tucson AZ 85716-3425 | |
| (520) 323-9835 | |
| (520) 327-2342 |
| Full Name | Academic & Behavioral Center Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1601 N Tucson Blvd, Tucson, Arizona |
| Authorized Official Name and Position | David M Bynes (OWNER PROVIDER) |
| Authorized Official Contact | 5203239835 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Academic & Behavioral Center Llc 1601 N Tucson Blvd #36 Tucson AZ 85716-3425 Ph: (520) 323-9835 | Academic & Behavioral Center Llc 1601 N Tucson Blvd #36 Tucson AZ 85716-3425 Ph: (520) 323-9835 |
| NPI Number | 1417029018 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 06/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417029018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW-2746 (Arizona) | Primary |
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