Individual
ALESHA ANN KIMBRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
25615 N 131ST DR, PEORIA, AZ 85383-3501
(480) 980-1124
Mailing address
3104 E CAMELBACK RD STE 2969, PHOENIX, AZ 85016-4502
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-22-61362
AZ
103K00000X
Behavior Analyst
Primary
BEH-001039
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-22-61362
BACB CERTIFICATION
—
01
—
BEH-001039
STATE OF ARIZONA BOARD OF PSYCHOLOGIST EXAMINERS
AZ
Enumeration date
11/04/2022
Last updated
09/24/2024
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