Organization
A SENSORY PLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NASHARAE CARABALLO (OWNER)
(602) 935-5188
Entity
Organization
Contact information
Practice address
414 N 119TH LN, AVONDALE, AZ 85323-7220
(602) 904-3765
Mailing address
414 N 119TH LN, AVONDALE, AZ 85323-7220
(602) 904-3765
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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