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Organization
ILLUMINATE BEHAVIORAL CONSULTING, LLC
Active
Organization
ILLUMINATE BEHAVIORAL CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA HINELINE M.ED., BCBA, LBA (BOARD CERTIFIED BEHAVIOR ANALYST)
(206) 799-0012
Entity
Organization
Contact information
Practice address
6850 E MAYO BLVD UNIT 2208, PHOENIX, AZ 85054-5689
(206) 799-0012
Mailing address
6850 E MAYO BLVD UNIT 2208, PHOENIX, AZ 85054-5689
(206) 799-0012
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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