Organization
BEHAVIORALLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLYSON PERREAULT MA, BCBA, LBA (OWNER/CLINICAL DIRECTOR)
(480) 309-6633
Entity
Organization
Contact information
Practice address
15540 E CHICORY DR, FOUNTAIN HILLS, AZ 85268-4303
(480) 309-6633
Mailing address
15540 E CHICORY DR, FOUNTAIN HILLS, AZ 85268-4303
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097192
—
AZ
Enumeration date
08/22/2021
Last updated
08/22/2021
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