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Individual

JULISSA NEKELI RIVERA SANTOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
24871 S ELLSWORTH RD STE 100-151, QUEEN CREEK, AZ 85142-1574
(480) 999-7779
(480) 359-4033
Mailing address
5416 E AZARA DR, SAN TAN VALLEY, AZ 85140-0188
(480) 227-6601

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
AZ

Other

Enumeration date
04/28/2026
Last updated
04/28/2026
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