Healthcare Provider Details

I. General information

NPI: 1063343341
Provider Name (Legal Business Name): PLAYCONNECT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43507 N IRONWOOD DR
SAN TAN VALLEY AZ
85140-9312
US

IV. Provider business mailing address

4124 S SAWMILL RD
GILBERT AZ
85297-3079
US

V. Phone/Fax

Practice location:
  • Phone: 480-331-2256
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: LINDSAY NOWAKOWSKI
Title or Position: BEHAVIOR ANALYST
Credential: BCBA, LBA
Phone: 480-331-2256