| Elite Community Services, Llc | |
|
3651 E Baseline Rd Ste E-222 Gilbert AZ 85234-2689 | |
| (480) 558-1275 | |
| (480) 558-1276 |
| Full Name | Elite Community Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3651 E Baseline Rd Ste E-222, Gilbert, Arizona |
| Authorized Official Name and Position | Susan Appenzeller (C.E.O.) |
| Authorized Official Contact | 8885581275 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Community Services, Llc 3651 E Baseline Rd Ste E-222 Gilbert AZ 85234-2689 Ph: (480) 558-1275 | Elite Community Services, Llc 3651 E Baseline Rd Ste E-222 Gilbert AZ 85234-2689 Ph: (480) 558-1275 |
| NPI Number | 1215559810 |
|---|---|
| Provider Enumeration Date | 05/18/2020 |
| Last Update Date | 05/18/2020 |
| Certification Date | 05/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215559810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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