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Intercept Speech And Language, Llc
Developmentally Disabled Services Day Training Agency in Sierra Vista, Arizona
NPI 1679656409

Intercept Speech And Language, Llc is a Developmentally Disabled Services Day Training Agency based in Marina Del Rey, AZ. Intercept Speech And Language, Llc practices in Sierra Vista, AZ. The NPI Number for Intercept Speech And Language, Llc is 1679656409 and holds a License No. SLP4673 (Arizona).

The current practice location address for Intercept Speech And Language, Llc is 1201 E Fry Blvd, Sierra Vista, AZ and can be reached out via phone at 520-459-8258 and via fax at 520-459-8619. You can also correspond with Intercept Speech And Language, Llc through the mailing address at 13428 MAXELLA AVE # 228, MARINA DEL REY, CA - 90292-5620 (mailing address contact number: 520-459-8258).

Location: 1201 E Fry Blvd, Sierra Vista, AZ, 90292-5620
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679656409
Provider Name
Intercept Speech And Language, Llc
Credential
Provider Entity Type
Organization
Address
1201 E Fry Blvd, Sierra Vista, AZ, 90292-5620
Phone Number
520-459-8258
Fax Number
520-459-8619
Provider Enumeration Date
10/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
968141 01 AZ AHCCCS
institution
Provider Business Practice Location Address Details
Address
1201 E Fry Blvd
City
Sierra Vista
State
Arizona
Zip
85635-2600
Phone Number
520-459-8258
Fax Number
520-459-8619
person
Provider Business Mailing Address Details
Address
13428 Maxella Ave # 228
City
Marina Del Rey
State
California
Zip
90292-5620
Phone Number
520-459-8258
Fax Number
520-459-8619
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
SLP4673 (Arizona)
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
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