| Hyalite Pediatric Therapy, Llc | |
|
1601 Westwood Cir Unit A Belgrade MT 59714-2505 | |
| (406) 314-5500 | |
| Not Available |
| Full Name | Hyalite Pediatric Therapy, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1601 Westwood Cir Unit A, Belgrade, Montana |
| Authorized Official Name and Position | Keshtisha Sunde (OWNER/EMPLOYEE) |
| Authorized Official Contact | 4063145500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hyalite Pediatric Therapy, Llc 1601 Westwood Cir Unit A Belgrade MT 59714-2505 Ph: () - | Hyalite Pediatric Therapy, Llc 1601 Westwood Cir Unit A Belgrade MT 59714-2505 Ph: (406) 314-5500 |
| NPI Number | 1306419452 |
|---|---|
| Provider Enumeration Date | 07/16/2021 |
| Last Update Date | 07/16/2021 |
| Certification Date | 07/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306419452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 261QX0100X | Clinic/center - Occupational Medicine | (* (Not Available)) | Secondary |
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