Indie Laine Learning Co LLC

NPI #1073297099 in Phoenix, Arizona

Provider Information

NPI Number
1073297099
Entity Type
Organization
Organization Name
Indie Laine Learning Co LLC
Primary Specialty
Clinic/Center - Developmental Disabilities
Enumeration Date
Jun 12, 2023
Last Updated
Oct 1, 2024

Practice Location

Address
5210 N CENTRAL AVE STE 101
State
Arizona
ZIP Code
85012-1489
Phone
(623) 295-1109

Authorized Official

Name
JESSICA T COSTA, M.S., BCBA, LBA
Title
DIRECTOR OF THERAPY & CONSULTATION
Phone
(860) 371-4586

Specialties & Taxonomy Codes

Specialty
Behavior Analyst
Physical Therapist
Occupational Therapist
Speech-Language Pathologist
Clinic/Center - Developmental DisabilitiesDevelopmental Disabilities

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