| Behaviorally Llc | |
|
15540 E Chicory Dr Fountain Hills AZ 85268-4303 | |
| (480) 309-6633 | |
| Not Available |
| Full Name | Behaviorally Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 15540 E Chicory Dr, Fountain Hills, Arizona |
| Authorized Official Name and Position | Allyson Perreault (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 4803096633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behaviorally Llc 15540 E Chicory Dr Fountain Hills AZ 85268-4303 Ph: () - | Behaviorally Llc 15540 E Chicory Dr Fountain Hills AZ 85268-4303 Ph: (480) 309-6633 |
| NPI Number | 1336815059 |
|---|---|
| Provider Enumeration Date | 08/22/2021 |
| Last Update Date | 08/22/2021 |
| Certification Date | 08/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336815059 | NPI | - | NPPES |
| 097192 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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