Lacuna Autism Services LLC
Behavior Analyst in Avondale, AZ. Organization (NPI-2).
NPI number1164029617
StatusActive
Last updated in NPPESOct 7, 2020
Details
- NPI
- 1164029617
- Entity type
- Organization (NPI-2)
- Legal business name
- Lacuna Autism Services LLC
- Organization subpart
- No
- Enumeration date
- Oct 7, 2020
- Certification date
- Oct 7, 2020
- Last updated
- Oct 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
10812 W Monte Vista RdAvondale, AZ 85392-5408
Phone 719-529-0131
Mailing address
12846 Morning Breeze WayPeyton, CO 80831-4606
Phone 719-529-0131
Authorized official
Meagan McCurdy
Ceo
4074636320
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