| Sorella Behavioral Solutions Llc | |
|
550 W Maryland Ave Unit 105 Phoenix AZ 85013-1327 | |
| (267) 574-1457 | |
| Not Available |
| Full Name | Sorella Behavioral Solutions Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 550 W Maryland Ave Unit 105, Phoenix, Arizona |
| Authorized Official Name and Position | Nikeda Stanback (CEO) |
| Authorized Official Contact | 2675742457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sorella Behavioral Solutions Llc 401 Sw 1st Ave Apt 2406 Ft Lauderdale FL 33301-4546 Ph: (267) 574-2457 | Sorella Behavioral Solutions Llc 550 W Maryland Ave Unit 105 Phoenix AZ 85013-1327 Ph: (267) 574-1457 |
| NPI Number | 1255200481 |
|---|---|
| Provider Enumeration Date | 11/04/2025 |
| Last Update Date | 11/04/2025 |
| Certification Date | 11/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255200481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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