| Sequelcare Of Arizona, Llc | |
|
8603 E Eastridge Rd Prescott Valley AZ 86314-8562 | |
| (928) 777-3280 | |
| Not Available |
| Full Name | Sequelcare Of Arizona, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8603 E Eastridge Rd, Prescott Valley, Arizona |
| Authorized Official Name and Position | Tracie Hirz (HCTC PROVIDER) |
| Authorized Official Contact | 9287773280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sequelcare Of Arizona, Llc 3656 Packsaddle Rd Kingman AZ 86401-6524 Ph: () - | Sequelcare Of Arizona, Llc 8603 E Eastridge Rd Prescott Valley AZ 86314-8562 Ph: (928) 777-3280 |
| NPI Number | 1124407390 |
|---|---|
| Provider Enumeration Date | 05/21/2015 |
| Last Update Date | 05/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124407390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 467011 (Arizona) | Primary |
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