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Organization
MISSION KIDZ GROUP
Active
Organization
MISSION KIDZ GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN DAVID VICENTE (OWNER)
(480) 383-9503
Entity
Organization
Contact information
Practice address
2198 E CAMELBACK RD SUITE 270, PHOENIX, AZ 85016
(623) 282-4742
Mailing address
15411 W WADDELL RD STE 102, SURPRISE, AZ 85379-5170
(623) 282-4742
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/26/2026
Last updated
08/26/2026
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