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Organization

APPLIED BEHAVIORAL INTERVENTIONS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VICTOR OKORIE PH.D. (CHIEF EXECUTIVE OFFICER)
(602) 441-2388
Entity
Organization

Contact information

Practice address
200 S 3RD AVE, SUITE 220, YUMA, AZ 85364-2224
(928) 919-1528
Mailing address
200 S 3RD AVE, SUITE 220, YUMA, AZ 85364-2224
(928) 919-1528

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-15037
AZ
101YP2500X
Professional Counselor
CSLG7866
AZ
103TC0700X
Clinical Psychologist
4010
AZ
103TC1900X
Counseling Psychologist
4605
AZ
1041C0700X
Clinical Social Worker
LCSW-10962
AZ
251B00000X
Case Management Agency
CSLG7866
AZ
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
CSLG7866
AZ
261QM0850X
Adult Mental Health Clinic/Center
CSLG7866
AZ
261QR0400X
Rehabilitation Clinic/Center
CSLG7866
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BH5020
ADHS
AZ
Enumeration date
10/27/2016
Last updated
10/27/2016
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