Provider Demographics
NPI:1750815874
Name:BELA, JOHN
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:BELA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 E COLUMBUS AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-2351
Mailing Address - Country:US
Mailing Address - Phone:602-248-4432
Mailing Address - Fax:
Practice Address - Street 1:77 E COLUMBUS AVE STE 102
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85012-2351
Practice Address - Country:US
Practice Address - Phone:602-248-4432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-14
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst