NPI 1467709691 · live from the CMS NPI Registry
A Brighter Avenue LLC
Speech-Language Pathologist, in Mesa, AZ. National Provider Identifier 1467709691, active.
NPI record
| NPI | 1467709691 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 4121 E Valley Auto Dr Ste 100, Mesa, AZ 85206 |
| Practice phone | 480-474-4173 |
| Enumerated | August 7, 2012 |
| Last updated | March 8, 2022 |
| Authorized official | Joni Stricker, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — (AZ) |
| Physical Therapist | 225100000X | — (AZ) |
| Occupational Therapist | 225X00000X | — (AZ) |
| Speech-Language Pathologist, primary | 235Z00000X | — (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.