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2111 E Baseline Rd Ste C8 Tempe AZ 85283-1521 | |
(480) 831-1212 | |
Not Available |
Full Name | |
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Speciality | Behavior Analyst |
Location | 2111 E Baseline Rd Ste C8, Tempe, Arizona |
Authorized Official Name and Position | Robert Leighton Stadheim (PRESIDENT) |
Authorized Official Contact | 4808311212 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2111 E Baseline Rd Ste C8 Tempe AZ 85283-1521 Ph: (480) 831-1212 | 2111 E Baseline Rd Ste C8 Tempe AZ 85283-1521 Ph: (480) 831-1212 |
NPI Number | 1396128229 |
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Provider Enumeration Date | 07/09/2015 |
Last Update Date | 07/09/2015 |
Identifier | Type | State | Issuer |
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1396128229 | NPI | - | NPPES |
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