Organization
APPLIED BEHAVIORAL INTERVENTIONS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR OKORIE (CHIEF EXECUTIVE OFFICER)
(602) 441-2388
Entity
Organization
Contact information
Practice address
10000 N 31ST AVE STE A107, PHOENIX, AZ 85051-9582
(602) 441-2388
(800) 881-7511
Mailing address
PO BOX 72657, PHOENIX, AZ 85050-1028
(602) 524-0824
(800) 881-7511
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-15037
AZ
101YP2500X
Professional Counselor
LPC-13418
AZ
103T00000X
Psychologist
4010
AZ
1041C0700X
Clinical Social Worker
LCSW-10962
AZ
251S00000X
Community/Behavioral Health Agency
Primary
BH4777
AZ
251S00000X
Community/Behavioral Health Agency
CSLG7643
AZ
Other
Enumeration date
04/22/2016
Last updated
07/20/2020
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