Organization
HUMANITAS FAMILY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL LOPEZ MURILLO (MEMBER)
(888) 909-8741
Entity
Organization
Contact information
Practice address
701 W GROVE PKWY, #164, TEMPE, AZ 85283-4501
(888) 909-8741
(805) 640-7844
Mailing address
308 N MONTGOMERY ST, OJAI, CA 93023-2746
(888) 909-8741
(805) 640-7844
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-6815
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-10-6815
BCBA
AZ
Enumeration date
12/05/2016
Last updated
12/05/2016
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