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NPI Code Detail

MEDICARE: ADNYK BEHAVIOR INTERVENTIONS

MEDICARE: ADNYK BEHAVIOR INTERVENTIONS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1073394961
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADNYK BEHAVIOR INTERVENTIONS
Provider Business Mailing Address
First Line : 2146 W HIGHLAND AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85015-4147
Country : US
Telephone Number : 619-822-9721
Fax Number :
Provider Business Practice Location Address
First Line : 2146 W HIGHLAND AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85015-4147
Country : US
Telephone Number : 619-822-9721
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KYNDA A EDEN
Credential : BCBA
Telephone Number : 619-822-9721
Provider Enumeration Date : 10/09/2023
Last Update Date : 10/09/2023

Similar Medicare Providers

1811590896 — KYNDA EDEN BCBA
Practice Location Address:
2146 W HIGHLAND AVE
PHOENIX, AZ
85015-4147
Practice Phone: 619-822-9721
Practice Fax:
1205073582 — ROCK ALLEN TODD LAC, LASAC
Practice Location Address:
8825 N 23RD AVE , SUITE#100
PHOENIX, AZ
85021-4147
Practice Phone: 602-861-2255
Practice Fax: 602-861-2288
1518104801 — MR. JOSHUA A PLOSKER LMSW
Practice Location Address:
8825 N 23RD AVE , STE 100
PHOENIX, AZ
85021-4147
Practice Phone: 602-861-2255
Practice Fax: 602-861-2288
1760629059 — DIANE S. WILLIAMS LAC
Practice Location Address:
8825 N 23RD AVE , SUITE 100
PHOENIX, AZ
85021-4147
Practice Phone: 602-861-2255
Practice Fax: 602-861-2288
1649417932 — MS. BECKY JO WEDELL LASAC
Practice Location Address:
8825 N 23RD AVE , SUITE 100
PHOENIX, AZ
85021-4147
Practice Phone: 602-861-2255
Practice Fax: 602-861-2288
1851667083 — COMMUNITY BRIDGES, INC
Practice Location Address:
8825 N 23RD AVE , SUITE 100
PHOENIX, AZ
85021-4147
Practice Phone: 602-861-2255
Practice Fax: 602-861-2288

Directions to “ADNYK BEHAVIOR INTERVENTIONS ” Practice Location

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