Awa Pediatric Behavioral Services LLC

Organization Active NPI In Home Supportive Care Agency · Bozeman, MT

NPI 1649947607 · NPPES record last updated Apr 25, 2022

Key facts

NPI
1649947607
Entity type
Organization (NPI type 2)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Legal business name
AWA PEDIATRIC BEHAVIORAL SERVICES LLC
Practice address
1188 Forestglen Dr Apt E
Bozeman, MT 59718-6693
Phone
(602) 999-8824
NPI assigned
Aug 26, 2021
Organization subpart
No

Authorized official

Name
Brytne E Skocypiec
Title
Owner
Phone
(406) 224-3130

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Yes
Attendant Care Provider
Group: 193400000X SINGLE SPECIALTY GROUP
3747A0650X

Addresses

Primary practice location

1188 Forestglen Dr Apt E
Bozeman, MT 59718-6693

Mailing address

1188 Forestglen Dr Apt E
Bozeman, MT 59718-6693
Phone (602) 999-8824

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL awapedsbehavior@gmail.com Direct

Other providers in Bozeman, MT

All providers in Bozeman, MT · In Home Supportive Care Agency in Montana

Sources for this page

Verify at the official NPI Registry.