Applied Behavioral Interventions, PLLC
Organization Active NPI Community/Behavioral Health Agency · Phoenix, AZ
NPI 1619321908 · NPPES record last updated Jul 20, 2020
Key facts
- NPI
- 1619321908
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- BH4777 (AZ)
- Legal business name
- APPLIED BEHAVIORAL INTERVENTIONS, PLLC
- Practice address
- 10000 N 31St Ave Ste A107
Phoenix, AZ 85051-9582 - Phone
- (602) 441-2388
- Fax
- (800) 881-7511
- NPI assigned
- Apr 22, 2016
- Organization subpart
- No
Authorized official
- Name
- Victor Okorie
- Title
- Chief Executive Officer
- Phone
- (602) 441-2388
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Applied Behavioral Interventions PLLC
Locations
10000 N 31st Ave
Ste C218
Phoenix, AZ 85051
Phone (602) 314-6312
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | LISAC-15037 | AZ | |
| Professional Counselor |
101YP2500X | LPC-13418 | AZ | |
| Psychologist |
103T00000X | 4010 | AZ | |
| Clinical Social Worker |
1041C0700X | LCSW-10962 | AZ | |
| Community/Behavioral Health Agency | 251S00000X | BH4777 | AZ | Yes |
| Community/Behavioral Health Agency | 251S00000X | CSLG7643 | AZ |
Addresses
Primary practice location
10000 N 31St Ave Ste A107
Phoenix, AZ 85051-9582
Mailing address
PO Box 72657
Phoenix, AZ 85050-1028
Phone (602) 524-0824
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Encryption | Other |
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All providers in Phoenix, AZ · Community/Behavioral Health Agency in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.