03D2096476 CLIA NUMBER - PSYCHIATRIC SERVICES LLC

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Laboratory Demographics

CLIA Number: 03D2096476

Facility Name: PSYCHIATRIC SERVICES LLC

Facility Address:
4645 N 12TH ST STE 100
PHOENIX, AZ
ZIP 85014
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Facility Phone Number: (602) 434-4541

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1851611040

Taxonomy: 103K00000X - Behavior Analyst
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

CLIA Record

Field Name	Field Value
CLIA Number	03D2096476
LAB Type	PHYSICIAN OFFICE
Facility Name	PSYCHIATRIC SERVICES LLC
Street	4645 N 12TH ST STE 100
City	PHOENIX
State	AZ
ZIP	85014
Phone	(602) 434-4541

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This page was last updated on: 5/11/2023