| Lacuna Autism Services Llc | |
|
10812 W Monte Vista Rd Avondale AZ 85392-5408 | |
| (719) 529-0131 | |
| Not Available |
| Full Name | Lacuna Autism Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 10812 W Monte Vista Rd, Avondale, Arizona |
| Authorized Official Name and Position | Meagan Mccurdy (CEO) |
| Authorized Official Contact | 4074636320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lacuna Autism Services Llc 12846 Morning Breeze Way Peyton CO 80831-4606 Ph: (719) 529-0131 | Lacuna Autism Services Llc 10812 W Monte Vista Rd Avondale AZ 85392-5408 Ph: (719) 529-0131 |
| NPI Number | 1164029617 |
|---|---|
| Provider Enumeration Date | 10/07/2020 |
| Last Update Date | 10/07/2020 |
| Certification Date | 10/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164029617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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