Swan Therapy Group LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SWAN THERAPY GROUP LLC

Practice address

4404 W Suncup Dr
San Tan Valley, AZ 85144-2347

Phone

(602) 502-7961

Fax

(602) 878-9713

NPI assigned

Jun 21, 2023

Last updated

Jun 21, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pamela Miller

Title

Coo

Phone

(602) 502-7961

Specialties & licenses 1

Addresses

Tax ID family

Swan Therapy Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Swan Therapy Group LLC

  • Behavior Analyst
  • Maricopa, AZ
  • NPI 1316718786
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1255016788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4456",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852614456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 W SUNCUP DR",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851442347",
            "telephone_number": "602-502-7961",
            "fax_number": "602-878-9713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWAN THERAPY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "602-502-7961"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meagan M Sullivan
• Sun West Dental San Tan
• Edgar Arthur Suter, MD
• Ryan Nelson Sutton, FNP
• Donald Todd Swain, DO
• Stefani Lee Swanson
• Sweet Angels Behavioral Health LLC
• Serge Tabaro
• Kerry Taylor, OTR-L
• Patricia L. Taylor, LPC

• Behavior Analyst in San Tan Valley, AZ
• Providers in San Tan Valley, AZ by specialty
• Behavior Analyst in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.