Organization
SENTINEL BEHAVIORAL CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAAKEL ELZY BCBA (CHIEF CLINICAL OFFICER)
(520) 440-7435
Entity
Organization
Contact information
Practice address
2915 N EVERGREEN ST, PHOENIX, AZ 85014-5509
(520) 440-7435
Mailing address
2915 N EVERGREEN ST, PHOENIX, AZ 85014-5509
(520) 440-7435
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253498
—
AZ
Enumeration date
10/10/2020
Last updated
10/10/2020
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