American Leadership Academy, Inc.
Organization Active NPI Bus · Queen Creek, AZ
NPI 1750813192 · NPPES record last updated Apr 3, 2017
Key facts
- NPI
- 1750813192
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Bus 347B00000X
- Legal business name
- AMERICAN LEADERSHIP ACADEMY, INC.
- Practice address
- 19935 E Chandler Heights Rd
Queen Creek, AZ 85142-9350 - Phone
- (480) 420-2131
- NPI assigned
- Apr 3, 2017
- Organization subpart
- No
Authorized official
- Name
- Scott Jensen
- Title
- Business Manager
- Phone
- (480) 420-2131
Corporate family (same tax ID) 2
Practitioners 2
-
Derrainnya Fuentes, PHD
National Provider Directory
- Tax ID family
- American Leadership Academy
Locations
19935 E Chandler Heights Rd
Queen Creek, AZ 85142
Phone (480) 420-2101
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Bus | 347B00000X | Yes |
Addresses
Primary practice location
19935 E Chandler Heights Rd
Queen Creek, AZ 85142-9350
Mailing address
19935 E Chandler Heights Rd
Queen Creek, AZ 85142-9350
Phone (480) 420-2131
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 909697 | Medicaid | AZ |
Other providers in Queen Creek, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2017. 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.