Provider Demographics
NPI:1477321149
Name:ATWOOD BEHAVIOR ANALYSIS SERVICES, LLC
Entity Type:Organization
Organization Name:ATWOOD BEHAVIOR ANALYSIS SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ATWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-630-8999
Mailing Address - Street 1:43613 W CHAMBERS CT
Mailing Address - Street 2:
Mailing Address - City:MARICOPA
Mailing Address - State:AZ
Mailing Address - Zip Code:85138-1564
Mailing Address - Country:US
Mailing Address - Phone:520-866-1513
Mailing Address - Fax:
Practice Address - Street 1:43613 W CHAMBERS CT
Practice Address - Street 2:
Practice Address - City:MARICOPA
Practice Address - State:AZ
Practice Address - Zip Code:85138-1564
Practice Address - Country:US
Practice Address - Phone:520-866-1513
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-13
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty