| Phoenix Focused Behavioral Healthcare, Llc | |
|
100 Crossroads Loop Apt 310 Yorktown VA 23693-5674 | |
| (917) 991-2720 | |
| Not Available |
| Full Name | Phoenix Focused Behavioral Healthcare, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 100 Crossroads Loop Apt 310, Yorktown, Virginia |
| Authorized Official Name and Position | Melissa Cynthia Burke (OWNER) |
| Authorized Official Contact | 9179912720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Focused Behavioral Healthcare, Llc 100 Crossroads Loop Apt 310 Yorktown VA 23693-5674 Ph: (917) 991-2720 | Phoenix Focused Behavioral Healthcare, Llc 100 Crossroads Loop Apt 310 Yorktown VA 23693-5674 Ph: (917) 991-2720 |
| NPI Number | 1427650787 |
|---|---|
| Provider Enumeration Date | 11/12/2020 |
| Last Update Date | 11/12/2020 |
| Certification Date | 11/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427650787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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