Organization
PHOENIX BEHAVIORAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NILDA VANDORTRECHT (BUSINESS MANAGER)
(334) 325-0655
Entity
Organization
Contact information
Practice address
114 MEDICAL CENTER DR, PRATTVILLE, AL 36066-7286
(334) 325-0655
(334) 452-3246
Mailing address
114 MEDICAL CENTER DR, PRATTVILLE, AL 36066-7286
(334) 325-0655
(334) 452-3246
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/24/2026
Last updated
07/24/2026
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