One Life Consulting

NPI #1174395289 in Mesa, Arizona

Provider Information

NPI Number: 1174395289
Entity Type: Organization
Organization Name: One Life Consulting
Primary Specialty: Behavior Technician
Enumeration Date: Oct 23, 2023
Last Updated: Oct 23, 2023

Practice Location

Address: 6107 E ENCANTO ST
City: Mesa
State: Arizona
ZIP Code: 85205-5956
Phone: (310) 779-8804

Authorized Official

Name: MR. WALLACE CLYDE ANDREWS III, MA/THERAPIST
Title: BEHAVIORAL HEALTH CONSULTANT
Phone: (480) 925-1393

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Health & Wellness Coach	171400000X
Driver	172A00000X
Peer Specialist	175T00000X
Recreation Therapist	225800000X
Religious Nonmedical Practitioner	374K00000X
Behavior Technician	106S00000X	Primary

Additional Practice Locations

1710 S Aaron

Mesa, AZ, 85209-4686

(310) 779-8804

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