Academic & Behavioral Center Llc in Tucson - Clinical
Academic & Behavioral Center Llc - NPI 1417029018
Academic & Behavioral Center Llc is a Clinical in Tucson, Arizona. Academic & Behavioral Center Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Academic & Behavioral Center Llc is 1417029018. The last update date is 2018-06-21.
Academic & Behavioral Center Llc's current location address is 1601 N Tucson Blvd, Tucson, Arizona. You can contact this provider via phone number 5203239835 and fax number 5203272342. The mailing address for Academic & Behavioral Center Llc is 1601 N Tucson Blvd, Tucson, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Academic & Behavioral Center Llc |
|---|---|
| Address | 1601 N Tucson Blvd, Tucson, Arizona |
| Phone Number | 5203239835 |
| Fax Number | 5203272342 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER P |
|---|---|
| Authorized Official Name | Bynes M David |
| Credentials | LCSW |
| Telephone Number | 5203239835 |
NPI Number Detail
| NPI Number | 1417029018 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2018-06-21 |
Provider Mailing Address Detail
| Address | 1601 N Tucson Blvd |
|---|---|
| City | Tucson |
| State | Arizona (AZ) |
| Post Code | 857163425 |
| Phone Number | 5203239835 |
| Fax Number | 5203272342 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSW-2746 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique provider identifier assigned to Academic & Behavioral Center Llc?
The Academic & Behavioral Center Llc has been issued the NPI (National Provider Identifier) 1417029018 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Academic & Behavioral Center Llc located?
The Academic & Behavioral Center Llc is located at 1601 N Tucson Blvd, Tucson, AZ 857163425.
What is Academic & Behavioral Center Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Academic & Behavioral Center Llc is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Academic & Behavioral Center Llc receive the assignment of its 1417029018 from the Centers for Medicare & Medicaid Services?
The Academic & Behavioral Center Llc was issued its 1417029018 by the Centers for Medicare & Medicaid Services on 2006-11-15.
When was the information pertaining to Academic & Behavioral Center Llc most recently updated or revised?
The details related to Academic & Behavioral Center Llc, including its address, specialty, and other relevant information, were last updated or revised on 2018-06-21.
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