Organization
BEHAVIOR INNOVATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN W TELLEZ PMHNP-BC (OWNER)
(520) 244-4680
Entity
Organization
Contact information
Practice address
9802 W BELL RD UNIT 1217, SUN CITY, AZ 85372-7010
(520) 244-4680
(623) 666-5795
Mailing address
10158 W ROSS AVE, PEORIA, AZ 85382-2557
(520) 244-4680
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/22/2022
Last updated
05/06/2025
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