Organization
HYALITE PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KESHTISHA SUNDE BCBA (OWNER/EMPLOYEE)
(406) 314-5500
Entity
Organization
Contact information
Practice address
1601 WESTWOOD CIR UNIT A, BELGRADE, MT 59714-2505
(406) 314-5500
Mailing address
1601 WESTWOOD CIR UNIT A, BELGRADE, MT 59714-2505
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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