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Organization

GREENLIGHT ABA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN ROSAS (BEHAVIORAL TECHNICIAN)
(602) 363-5967
Entity
Organization

Contact information

Practice address
7801 N 44TH DRIVE UNIT 1108, GLENDALE, AZ 85301
(877) 881-3090
Mailing address
7828 W COLLEGE DR, PHOENIX, AZ 85033-1134
(602) 363-5967

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
11/10/2025
Last updated
12/10/2025
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