Organization
IMAGINE BEHAVIORAL & DEVELOPMENTAL SERVICES
Active
Organization
IMAGINE BEHAVIORAL & DEVELOPMENTAL SERVICES
Active
Parent organization
CARAVEL AUTISM HEALTH, LLC
Other names
SL Start & Associates, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARAVEL AUTISM HEALTH, LLC
Authorized official
HEIDI MORAGO (CREDENTIALING SPECIALIST)
(920) 857-9041
Entity
Organization
Contact information
Practice address
5709 W SUNSET HWY STE 101, SPOKANE, WA 99224-9446
(509) 209-2739
(920) 857-3366
Mailing address
1575 ALLOUEZ AVE, GREEN BAY, WI 54311-5639
(920) 857-9041
(920) 857-3366
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103TC0700X
Clinical Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/26/2012
Last updated
06/10/2021
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