Individual
ZACHARY RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3925 E HARRISON ST, GILBERT, AZ 85295-0152
(818) 585-2238
Mailing address
3925 E HARRISON ST, GILBERT, AZ 85295-0152
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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