MEDICARE: APOGEE INTEGRATED HEALTH SERVICES

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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1306439948
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APOGEE INTEGRATED HEALTH SERVICES

Provider Business Mailing Address
First Line	:	1027 E WASHINGTON ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85034-1007
Country	:	US
Telephone Number	:	775-386-4798
Fax Number	:

Provider Business Practice Location Address
First Line	:	1027 E WASHINGTON ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85034-1007
Country	:	US
Telephone Number	:	775-386-4798
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	ERIC OPOKU
Credential	:
Telephone Number	:	775-386-4798

Provider Enumeration Date	:	02/15/2021
Last Update Date	:	02/15/2021

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Directions to “APOGEE INTEGRATED HEALTH SERVICES ” Practice Location

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