Active NPIOrganization

123 Serenity Therapy LLC

Behavior Analyst in Phoenix, Arizona

NPI Number1871227173
Practice location
4600 E Washington St Ste 300, Phoenix, AZ 85034-1908
Fax
—
Last updated
July 13, 2022

123 Serenity Therapy LLC is a healthcare organization based in Phoenix, AZ. The NPI number for 123 Serenity Therapy LLC is 1871227173. The current practice location address is 4600 E Washington St Ste 300, Phoenix, AZ 85034-1908 and the office can be reached by phone at 845-418-5336. The NPI was assigned on July 12, 2022 and the record was last updated in NPPES on July 13, 2022.

●Provider Profile Details

NPI Number
1871227173
Provider Name
123 Serenity Therapy LLC
Entity Type
Organization (Type 2 NPI)
Primary Taxonomy
Behavior Analyst · 103K00000X
Organization Subpart
No
Authorized Official
Leah Pesach · President · 347-946-9817
Enumeration Date
July 12, 2022
Last Update Date
July 13, 2022
Certification Date
July 13, 2022
NPI Status
Active

◉Business Practice Location Address

Address
4600 E Washington St Ste 300
Phoenix, AZ 85034-1908
State
Arizona
ZIP
85034-1908
Country
US
Phone Number
845-418-5336

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✉Business Mailing Address

Address
333 Meadowood RD
Jackson, NJ 08527-1182
City
Jackson
State
NJ
ZIP
08527-1182
Phone Number
347-946-9817

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Assistant Behavior Analyst
193200000X - Multi-Specialty Group
106E00000XNo——
Behavior Technician
193200000X - Multi-Specialty Group
106S00000XNo——
Community/Behavioral Health251S00000XNo——
Behavior Analyst
193200000X - Multi-Specialty Group
103K00000XYes——

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of 123 Serenity Therapy LLC?

The NPI number of 123 Serenity Therapy LLC is 1871227173. It was assigned on July 12, 2022 and is currently active in the NPPES registry.

What is the specialty of 123 Serenity Therapy LLC?

123 Serenity Therapy LLC is registered under the primary taxonomy Behavior Analyst (code 103K00000X).

Where does 123 Serenity Therapy LLC practice?

The practice location is 4600 E Washington St Ste 300, Phoenix, AZ 85034-1908. The office can be reached at 845-418-5336 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1871227173 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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