Individual
BRANDI D TIPPETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3710 W GREENWAY RD STE 1001, PHOENIX, AZ 85053-3705
(877) 504-4141
Mailing address
702 S CONCORD ST, GILBERT, AZ 85296-3041
(928) 460-3507
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-228594
AZ
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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