Organization
ILLUMINATE BEHAVIORAL CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA HINELINE M.ED., BCBA, LBA (BOARD CERTIFIED BEHAVIOR ANALYST)
(206) 799-0012
Entity
Organization
Contact information
Practice address
6850 E MAYO BLVD UNIT 2208, PHOENIX, AZ 85054-5689
(206) 799-0012
Mailing address
6850 E MAYO BLVD UNIT 2208, PHOENIX, AZ 85054-5689
(206) 799-0012
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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