|
| |
|
1204 E Baseline Rd Ste 106 Tempe AZ 85283-1447 | |
| (480) 916-1574 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1204 E Baseline Rd Ste 106, Tempe, Arizona |
| Authorized Official Name and Position | Christina Panteloglow (OWNER/MANAGER) |
| Authorized Official Contact | 4809161574 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1204 E Baseline Rd Ste 106 Tempe AZ 85283-1447 Ph: (480) 916-1574 | 1204 E Baseline Rd Ste 106 Tempe AZ 85283-1447 Ph: (480) 916-1574 |
| NPI Number | 1598442428 |
|---|---|
| Provider Enumeration Date | 07/03/2023 |
| Last Update Date | 10/27/2023 |
| Certification Date | 10/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598442428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Skycrest Neurology, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 E Southern Ave, #d1, Tempe, AZ 85282 Phone: 480-219-7272 | |
Empact-suicide Prevention Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 618 S. Madison Drive, Tempe, AZ 85281 Phone: 480-784-1514 Fax: 480-967-3528 | |
Avira Behavioral Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 64 E Broadway Rd Ste 200, Tempe, AZ 85282 Phone: 346-500-4514 | |