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Organization
ESSENTIAL BEHAVIORAL DEVELOPMENT LLC
Active
Organization
ESSENTIAL BEHAVIORAL DEVELOPMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE DOWNIE MBA, MED, BCBA (OWNER AND BCBA)
(623) 330-6874
Entity
Organization
Contact information
Practice address
21973 N 102ND LN LOT 410, PEORIA, AZ 85383-2693
(623) 330-6874
Mailing address
21973 N 102ND LN LOT 410, PEORIA, AZ 85383-2693
(623) 330-6874
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-000093
AZ
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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