| NPI | 1164596284 | 
|---|---|
| Doing Business As | BISTA | 
| Entity Type | Organization | 
| Authorized Contact | CONNIE FLETCHER LAIRD Executive Director 602-995-7366 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251300000X Local Education Agency (LEA) | 
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ BA11) | 
| 225100000X Physical Therapist | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, (Licence: AZ 6265) | |
| Enumeration Date | 2006-11-20 | 
| Last Update Date | 2022-10-11 |