Illuminate Behavioral Consulting, Llc | |
6850 E Mayo Blvd Unit 2208 Phoenix AZ 85054-5689 | |
(206) 799-0012 | |
Not Available |
Full Name | Illuminate Behavioral Consulting, Llc |
---|---|
Speciality | Behavior Analyst |
Location | 6850 E Mayo Blvd Unit 2208, Phoenix, Arizona |
Authorized Official Name and Position | Amanda Hineline (BOARD CERTIFIED BEHAVIOR ANALYST) |
Authorized Official Contact | 2067990012 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Illuminate Behavioral Consulting, Llc 6850 E Mayo Blvd Unit 2208 Phoenix AZ 85054-5689 Ph: (206) 799-0012 | Illuminate Behavioral Consulting, Llc 6850 E Mayo Blvd Unit 2208 Phoenix AZ 85054-5689 Ph: (206) 799-0012 |
NPI Number | 1336928134 |
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Provider Enumeration Date | 09/21/2023 |
Last Update Date | 09/21/2023 |
Certification Date | 09/21/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336928134 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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