| Ambition Life Skills Pllc | |
|
16220 N 7th St Apt 3368 Phoenix AZ 85022-6677 | |
| (562) 417-9232 | |
| Not Available |
| Full Name | Ambition Life Skills Pllc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 16220 N 7th St Apt 3368, Phoenix, Arizona |
| Authorized Official Name and Position | Laquisha Moore (BOARD CERTIFIED BEHAVIOR ANALYST) |
| Authorized Official Contact | 5624179232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ambition Life Skills Pllc 16220 N 7th St Apt 3368 Phoenix AZ 85022-6677 Ph: () - | Ambition Life Skills Pllc 16220 N 7th St Apt 3368 Phoenix AZ 85022-6677 Ph: (562) 417-9232 |
| NPI Number | 1225734957 |
|---|---|
| Provider Enumeration Date | 02/03/2023 |
| Last Update Date | 11/28/2023 |
| Certification Date | 11/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225734957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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