| Silver Swing Aba Az Llc | |
|
1120 W University Ave Ste 200 Flagstaff AZ 86001-2879 | |
| (917) 864-2523 | |
| Not Available |
| Full Name | Silver Swing Aba Az Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1120 W University Ave Ste 200, Flagstaff, Arizona |
| Authorized Official Name and Position | Jay Lax (DIRECTOR) |
| Authorized Official Contact | 9178642523 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Silver Swing Aba Az Llc 1359 E 14th St Apt 2 Brooklyn NY 11230-5973 Ph: (917) 864-2523 | Silver Swing Aba Az Llc 1120 W University Ave Ste 200 Flagstaff AZ 86001-2879 Ph: (917) 864-2523 |
| NPI Number | 1457118358 |
|---|---|
| Provider Enumeration Date | 03/06/2024 |
| Last Update Date | 03/06/2024 |
| Certification Date | 03/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457118358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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