| Casitas De Amor Llc. | |
|
4210 W Orchid Ln Phoenix AZ 85051-4667 | |
| (480) 467-8119 | |
| Not Available |
| Full Name | Casitas De Amor Llc. |
|---|---|
| Speciality | Behavior Technician |
| Location | 4210 W Orchid Ln, Phoenix, Arizona |
| Authorized Official Name and Position | Jessica Nicole Soto (OWNER) |
| Authorized Official Contact | 4804678119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Casitas De Amor Llc. 4210 W Orchid Ln Phoenix AZ 85051-4667 Ph: (480) 467-8119 | Casitas De Amor Llc. 4210 W Orchid Ln Phoenix AZ 85051-4667 Ph: (480) 467-8119 |
| NPI Number | 1831701648 |
|---|---|
| Provider Enumeration Date | 08/21/2020 |
| Last Update Date | 08/21/2020 |
| Certification Date | 08/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831701648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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