| Humanitas Family Center Llc | |
|
701 W Grove Pkwy #164 Tempe AZ 85283-4501 | |
| (888) 909-8741 | |
| (805) 640-7844 |
| Full Name | Humanitas Family Center Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 701 W Grove Pkwy, Tempe, Arizona |
| Authorized Official Name and Position | Miguel Lopez Murillo (MEMBER) |
| Authorized Official Contact | 8889098741 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Humanitas Family Center Llc 308 N Montgomery St Ojai CA 93023-2746 Ph: (888) 909-8741 | Humanitas Family Center Llc 701 W Grove Pkwy #164 Tempe AZ 85283-4501 Ph: (888) 909-8741 |
| NPI Number | 1194269415 |
|---|---|
| Provider Enumeration Date | 12/05/2016 |
| Last Update Date | 12/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194269415 | NPI | - | NPPES |
| 1-10-6815 | Other | AZ | BCBA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-10-6815 (Arizona) | Primary |
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