Organization Active NPI

Cygnet Academy LLC

  • Behavior Analyst
  • Casa Grande, AZ
National Provider Identifier
1558181412
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
CYGNET ACADEMY LLC
Practice address
711 E Florence Blvd Ste a
Casa Grande, AZ 85122-4676
Phone
(480) 604-5147
Fax
(623) 294-7341
NPI assigned
Oct 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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) 492-5270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

711 E Florence Blvd Ste a
Casa Grande, AZ 85122-4676

Mailing address

711 E Florence Blvd Ste a
Casa Grande, AZ 85122-4676
Phone (480) 604-5147

National Provider Directory

National Provider Directory

Locations

711 E Florence Blvd
Ste A
Casa Grande, AZ 85122
Phone (480) 604-5147

NPI Registry JSON

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1558181412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 E FLORENCE BLVD STE A",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851224676",
            "telephone_number": "480-604-5147",
            "fax_number": "625-294-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E FLORENCE BLVD STE A",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851224676",
            "telephone_number": "480-604-5147",
            "fax_number": "623-294-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYGNET ACADEMY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "602-492-5270"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.