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Organization
123 SERENITY THERAPY LLC
Active
Organization
123 SERENITY THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH PESACH (PRESIDENT)
(347) 946-9817
Entity
Organization
Contact information
Practice address
4600 E WASHINGTON ST STE 300, PHOENIX, AZ 85034-1908
(845) 418-5336
Mailing address
333 MEADOWOOD RD, JACKSON, NJ 08527-1182
(347) 946-9817
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/12/2022
Last updated
07/13/2022
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