| Stand Aba Therapy, Llc | |
|
15516 N 172nd Dr Surprise AZ 85388-1221 | |
| (623) 633-3704 | |
| Not Available |
| Full Name | Stand Aba Therapy, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 15516 N 172nd Dr, Surprise, Arizona |
| Authorized Official Name and Position | Darcy D Caves (OWNER) |
| Authorized Official Contact | 6236333704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stand Aba Therapy, Llc 16772 W Bell Rd Ste 110-275 Surprise AZ 85374-9702 Ph: (623) 633-3704 | Stand Aba Therapy, Llc 15516 N 172nd Dr Surprise AZ 85388-1221 Ph: (623) 633-3704 |
| NPI Number | 1679145205 |
|---|---|
| Provider Enumeration Date | 07/13/2021 |
| Last Update Date | 07/13/2021 |
| Certification Date | 05/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679145205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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