Individual
TEEONNA COLDCLEUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1585 N 113TH AVE STE 102, AVONDALE, AZ 85392-3938
(623) 204-1701
Mailing address
6232 N 7TH ST STE 100, PHOENIX, AZ 85014-1850
(623) 693-2954
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-001068
AZ
106S00000X
Behavior Technician
RBT-19-80760
—
Other
Enumeration date
03/26/2019
Last updated
04/13/2023
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