| Goodyear Aba Therapy Llc | |
|
4212 N 129th Ave Litchfield Park AZ 85340-5589 | |
| (928) 266-4084 | |
| Not Available |
| Full Name | Goodyear Aba Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4212 N 129th Ave, Litchfield Park, Arizona |
| Authorized Official Name and Position | Juan Angel Mendoza (OWNER) |
| Authorized Official Contact | 9282664084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goodyear Aba Therapy Llc 4212 N 129th Ave Litchfield Park AZ 85340-5589 Ph: (928) 266-4084 | Goodyear Aba Therapy Llc 4212 N 129th Ave Litchfield Park AZ 85340-5589 Ph: (928) 266-4084 |
| NPI Number | 1538945613 |
|---|---|
| Provider Enumeration Date | 09/05/2023 |
| Last Update Date | 09/05/2023 |
| Certification Date | 09/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538945613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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