Organization
GREENLIGHT ABA THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASANDRA VIECK (RBT)
(602) 919-5552
Entity
Organization
Contact information
Practice address
12 S 28TH AVE, PHOENIX, AZ 85009-5040
(602) 919-5552
Mailing address
6385 CORPORATE DR STE 200-4, COLORADO SPRINGS, CO 80919-5901
(719) 341-1150
(520) 783-0057
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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