Organization
A BRIGHTER AVENUE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONI STRICKER (OWNER)
(480) 474-4173
Entity
Organization
Contact information
Practice address
4121 E VALLEY AUTO DR STE 100, MESA, AZ 85206-4631
(480) 474-4173
(480) 422-2436
Mailing address
4121 E VALLEY AUTO DR STE 100, MESA, AZ 85206-4631
(480) 474-4173
(480) 422-2436
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
AZ
225100000X
Physical Therapist
—
AZ
225X00000X
Occupational Therapist
—
AZ
235Z00000X
Speech-Language Pathologist
Primary
—
AZ
Other
Enumeration date
08/07/2012
Last updated
03/08/2022
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