Organization
GOODYEAR ABA THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN ANGEL MENDOZA IV (OWNER)
(928) 266-4084
Entity
Organization
Contact information
Practice address
4212 N 129TH AVE, LITCHFIELD PARK, AZ 85340-5589
(928) 266-4084
Mailing address
4212 N 129TH AVE, LITCHFIELD PARK, AZ 85340-5589
(928) 266-4084
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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