Organization
BEHAVIORAL CONSULTATION SERVICES OF NORTHERN ARIZONA
Active
Organization
BEHAVIORAL CONSULTATION SERVICES OF NORTHERN ARIZONA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW GARDNER PHD, BCBA-D (DIRECTOR OF SERVICES)
(928) 522-3780
Entity
Organization
Contact information
Practice address
906 W UNIVERSITY AVE, SUITE 120, FLAGSTAFF, AZ 86001-2986
(928) 522-3780
(928) 526-2119
Mailing address
906 W UNIVERSITY AVE, SUITE 120, FLAGSTAFF, AZ 86001-2986
(928) 522-3780
(928) 526-2119
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
12/02/2008
Last updated
09/10/2010
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