| Cygnet Academy Llc | |
|
711 E Florence Blvd Ste A Casa Grande AZ 85122-4676 | |
| (480) 604-5147 | |
| (623) 294-7341 |
| Full Name | Cygnet Academy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 711 E Florence Blvd Ste A, Casa Grande, Arizona |
| Authorized Official Name and Position | Pamela Miller (COO) |
| Authorized Official Contact | 6024925270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cygnet Academy Llc 711 E Florence Blvd Ste A Casa Grande AZ 85122-4676 Ph: (480) 604-5147 | Cygnet Academy Llc 711 E Florence Blvd Ste A Casa Grande AZ 85122-4676 Ph: (480) 604-5147 |
| NPI Number | 1558181412 |
|---|---|
| Provider Enumeration Date | 10/15/2024 |
| Last Update Date | 10/15/2024 |
| Certification Date | 10/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558181412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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