Healthcare Provider Details

I. General information

NPI: 1548868797
Provider Name (Legal Business Name): SENTINEL BEHAVIORAL CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2020
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1124 W TERNERO ST
TUCSON AZ
85704-2740
US

IV. Provider business mailing address

1124 W TERNERO ST
TUCSON AZ
85704-2740
US

V. Phone/Fax

Practice location:
  • Phone: 520-440-7435
  • Fax:
Mailing address:
  • Phone: 520-440-7435
  • 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: RAAKEL ELZY
Title or Position: OWNER/FOUNDER
Credential: BCBA
Phone: 520-440-7435