| Full Circle Therapy Center, Llc | |
|
11606 W Levi Dr Avondale AZ 85323-5417 | |
| (480) 261-3949 | |
| Not Available |
| Full Name | Full Circle Therapy Center, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 11606 W Levi Dr, Avondale, Arizona |
| Authorized Official Name and Position | Amy Petcovic (OWNER) |
| Authorized Official Contact | 4802613949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Circle Therapy Center, Llc Po Box 155 Cambridge NY 12816-0155 Ph: (480) 261-3949 | Full Circle Therapy Center, Llc 11606 W Levi Dr Avondale AZ 85323-5417 Ph: (480) 261-3949 |
| NPI Number | 1548834112 |
|---|---|
| Provider Enumeration Date | 05/18/2021 |
| Last Update Date | 05/18/2021 |
| Certification Date | 05/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548834112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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