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Organization

SORELLA BEHAVIORAL SOLUTIONS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NIKEDA STANBACK BCBA (CEO)
(267) 574-2457
Entity
Organization

Contact information

Practice address
550 W MARYLAND AVE UNIT 105, PHOENIX, AZ 85013-1327
(267) 574-1457
Mailing address
401 SW 1ST AVE APT 2406, FT LAUDERDALE, FL 33301-4546
(267) 574-2457

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
11/04/2025
Last updated
11/04/2025
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Product
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  • Eligibility checks
  • EDI platform