Vibrant Elevation LLC

NPI #1104527480 in Glendale, Arizona

Provider Information

NPI Number
1104527480
Entity Type
Organization
Organization Name
Vibrant Elevation LLC
Primary Specialty
Behavior Technician
Enumeration Date
Mar 14, 2023
Last Updated
Mar 14, 2023

Practice Location

Address
4480 W PEORIA AVE STE 204
State
Arizona
ZIP Code
85302-2039
Phone
(702) 812-2374

Authorized Official

Name
VERONICA JEAN NICHOLSON
Title
OWNER
Phone
(702) 812-2374

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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