| Greenlight Aba Az Llc | |
|
6700 E Speedway Blvd Ste 401 Tucson AZ 85710-1220 | |
| (877) 881-3090 | |
| Not Available |
| Full Name | Greenlight Aba Az Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6700 E Speedway Blvd Ste 401, Tucson, Arizona |
| Authorized Official Name and Position | Robert Dov Friedman (COO) |
| Authorized Official Contact | 7186149823 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenlight Aba Az Llc 6700 E Speedway Blvd Ste 401 Tucson AZ 85710-1220 Ph: () - | Greenlight Aba Az Llc 6700 E Speedway Blvd Ste 401 Tucson AZ 85710-1220 Ph: (877) 881-3090 |
| NPI Number | 1790543973 |
|---|---|
| Provider Enumeration Date | 03/12/2024 |
| Last Update Date | 08/07/2024 |
| Certification Date | 08/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790543973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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