| Ideal Performance Llc | |
|
9299 W Olive Ave Ste 403 Peoria AZ 85345-8383 | |
| (505) 489-3962 | |
| Not Available |
| Full Name | Ideal Performance Llc |
|---|---|
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 9299 W Olive Ave Ste 403, Peoria, Arizona |
| Authorized Official Name and Position | Michael Armijo (OWNER) |
| Authorized Official Contact | 5054893962 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Performance Llc 9299 W Olive Ave Ste 403 Peoria AZ 85345-8383 Ph: (505) 489-3962 | Ideal Performance Llc 9299 W Olive Ave Ste 403 Peoria AZ 85345-8383 Ph: (505) 489-3962 |
| NPI Number | 1619732591 |
|---|---|
| Provider Enumeration Date | 02/19/2024 |
| Last Update Date | 03/13/2024 |
| Certification Date | 03/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619732591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Primary |
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