Organization
UNITED BEHAVIORAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLIE BAND DBH, BCBA, LBA (CEO)
(602) 206-6046
Entity
Organization
Contact information
Practice address
3150 N 24TH ST STE C102, PHOENIX, AZ 85016-7343
(602) 206-6046
(602) 635-7789
Mailing address
3150 N 24TH ST STE C102, PHOENIX, AZ 85016-7343
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BA-114
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164832358
NPI PRIVATE
AZ
Enumeration date
06/07/2016
Last updated
06/07/2016
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