Becktold, Lia Violet

Becktold, Lia Violet is an individual health care provider with primary practice located at 5859 W Talavi Blvd Ste 180 , Glendale AZ 85306-1873. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Becktold, Lia Violet can be contacted via phone (602) 560-2836.

Contact Information

Primary practice address
5859 W Talavi Blvd Ste 180 Glendale AZ 85306-1873
Phone: (602) 560-2836
Fax: (317) 520-8200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X BEH-000212 Arizona

Profile Details

NPI number 1760855696
LBN Legal business name Becktold, Lia Violet
Credentials M.ED., BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2015
Last updated Jan 3rd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760855696 NPPES
Arizona MEDICAID OTC6521
Arizona Other 1-15-19569

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