Organization
ADAPT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANA MICHELLE STEVENS-PELLEGRINO MA, BCBA, BHP (OWNER/OFFICER)
(213) 864-1870
Entity
Organization
Contact information
Practice address
20780 W RIDGE RD, BUCKEYE, AZ 85396-7753
(562) 665-6226
Mailing address
PO BOX 5614, GOODYEAR, AZ 85338-0611
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
BA116
AZ
251S00000X
Community/Behavioral Health Agency
Primary
BA116
AZ
252Y00000X
Early Intervention Provider Agency
BA116
AZ
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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