| Canyon Falls Llc | |
|
5619 N 133rd Ave Litchfield Park AZ 85340-8344 | |
| (602) 435-3810 | |
| Not Available |
| Full Name | Canyon Falls Llc |
|---|---|
| Speciality | Behavior Technician |
| Location | 5619 N 133rd Ave, Litchfield Park, Arizona |
| Authorized Official Name and Position | Kevin Brown-gibson (SOLE PROPRIETOR/OWNER) |
| Authorized Official Contact | 6024353810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canyon Falls Llc 5619 N 133rd Ave Litchfield Park AZ 85340-8344 Ph: (602) 435-3810 | Canyon Falls Llc 5619 N 133rd Ave Litchfield Park AZ 85340-8344 Ph: (602) 435-3810 |
| NPI Number | 1457217937 |
|---|---|
| Provider Enumeration Date | 12/29/2025 |
| Last Update Date | 12/29/2025 |
| Certification Date | 12/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457217937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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