Scottsdale Pediatric Behavioral Services Pllc | |
22555 N Miller Rd Suite 100 Scottsdale AZ 85255-4944 | |
(480) 410-4040 | |
Not Available |
Full Name | Scottsdale Pediatric Behavioral Services Pllc |
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Speciality | Behavior Analyst |
Location | 22555 N Miller Rd, Scottsdale, Arizona |
Authorized Official Name and Position | Jacob Boney (CLINICAL DIRECTOR) |
Authorized Official Contact | 4804104040 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Scottsdale Pediatric Behavioral Services Pllc 22555 N Miller Rd Suite 100 Scottsdale AZ 85255-4944 Ph: () - | Scottsdale Pediatric Behavioral Services Pllc 22555 N Miller Rd Suite 100 Scottsdale AZ 85255-4944 Ph: (480) 410-4040 |
NPI Number | 1124577192 |
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Provider Enumeration Date | 09/30/2016 |
Last Update Date | 09/30/2016 |
Identifier | Type | State | Issuer |
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1124577192 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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