| Academic & Behavioral Center Llc | |
|
1122 N Olsen Ave Tucson AZ 85719-4717 | |
| (520) 323-9835 | |
| (520) 327-2342 |
| Full Name | Academic & Behavioral Center Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1122 N Olsen Ave, Tucson, Arizona |
| Authorized Official Name and Position | David M Bynes (DIRECTOR) |
| Authorized Official Contact | 5203239835 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Academic & Behavioral Center Llc 5425 E Broadway Blvd #315 Tucson AZ 85711-3704 Ph: (520) 323-9835 | Academic & Behavioral Center Llc 1122 N Olsen Ave Tucson AZ 85719-4717 Ph: (520) 323-9835 |
| NPI Number | 1861781650 |
|---|---|
| Provider Enumeration Date | 04/01/2011 |
| Last Update Date | 04/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861781650 | NPI | - | NPPES |
| Z100597 | Other | AZ | MEDICARE IDENTIFIER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW-2746 (Arizona) | Primary |
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