Organization
SHINE TREATMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LAWLOR (CHAIRMAN)
(208) 505-7176
Entity
Organization
Contact information
Practice address
3295 E REBEL LN, SAN TAN VALLEY, AZ 85143-1705
(208) 505-7176
Mailing address
3295 E REBEL LN, SAN TAN VALLEY, AZ 85143-1705
(208) 505-7176
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
09/13/2024
Last updated
09/21/2024
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