Provider Demographics
NPI:1932480985
Name:BEHAVIORAL THERAPIES LTD.
Entity Type:Organization
Organization Name:BEHAVIORAL THERAPIES LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:EXELBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-991-8351
Mailing Address - Street 1:16700 N THOMPSON PEAK PKWY
Mailing Address - Street 2:UNIT 120
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-2384
Mailing Address - Country:US
Mailing Address - Phone:480-991-8351
Mailing Address - Fax:
Practice Address - Street 1:16700 N THOMPSON PEAK PKWY
Practice Address - Street 2:UNIT 120
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2384
Practice Address - Country:US
Practice Address - Phone:480-991-8351
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-05
Last Update Date:2011-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0513101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1114977485OtherNPI