| Swan Therapy Group Llc | |
|
4404 W Suncup Dr San Tan Valley AZ 85144-2347 | |
| (602) 502-7961 | |
| (602) 878-9713 |
| Full Name | Swan Therapy Group Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4404 W Suncup Dr, San Tan Valley, Arizona |
| Authorized Official Name and Position | Pamela Miller (COO) |
| Authorized Official Contact | 6025027961 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Swan Therapy Group Llc Po Box 4456 Scottsdale AZ 85261-4456 Ph: () - | Swan Therapy Group Llc 4404 W Suncup Dr San Tan Valley AZ 85144-2347 Ph: (602) 502-7961 |
| NPI Number | 1255016788 |
|---|---|
| Provider Enumeration Date | 06/21/2023 |
| Last Update Date | 06/21/2023 |
| Certification Date | 06/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255016788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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