Individual
ANITA COTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9201 S AVENIDA DEL YAQUI STE 34, GUADALUPE, AZ 85283-2573
(480) 309-5720
Mailing address
5536 E CALLE SAN ANGELO, GUADALUPE, AZ 85283-2540
(480) 309-5720
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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