Organization
ARIZONA BEHAVIORAL HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL A BONNACCI PHD (PRESIDENT)
(623) 915-0270
Entity
Organization
Contact information
Practice address
1349 E COLTER ST, PHOENIX, AZ 85014-3048
(623) 915-0270
(623) 915-0280
Mailing address
4225 W GLENDALE AVE, SUITE E119, PHOENIX, AZ 85051-8194
(623) 915-0270
(623) 915-0280
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
3376
AZ
Other
Enumeration date
10/17/2006
Last updated
12/13/2007
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