Provider Demographics
NPI:1275231359
Name:DISAIA, FRANCINE MONIQUE (BEHAVIOR HEALTH)
Entity Type:Individual
Prefix:
First Name:FRANCINE
Middle Name:MONIQUE
Last Name:DISAIA
Suffix:
Gender:F
Credentials:BEHAVIOR HEALTH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6730 E MCDOWELL RD STE 106
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85257-3142
Mailing Address - Country:US
Mailing Address - Phone:626-540-8810
Mailing Address - Fax:
Practice Address - Street 1:6730 E MCDOWELL RD STE 106
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85257-3142
Practice Address - Country:US
Practice Address - Phone:626-540-8810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health