Cimmaron Ash Behavioral Healthcare
Behavior Analyst in Casa Grande, AZ. Organization (NPI-2).
NPI number1285966424
StatusActive
Last updated in NPPESApr 14, 2010
Details
- NPI
- 1285966424
- Entity type
- Organization (NPI-2)
- Legal business name
- Cimmaron Ash Behavioral Healthcare
- Organization subpart
- No
- Enumeration date
- Feb 12, 2010
- Last updated
- Apr 14, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
719 E Cottonwood LnCasa Grande, AZ 85122-2700
Phone 520-858-0261 · Fax 520-858-0260
Mailing address
719 E Cottonwood LnCasa Grande, AZ 85122-2700
Phone 520-858-0261 · Fax 520-858-0260
Authorized official
Kiyana V Brutus
Owner/Medical Director
4806942574
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