Individual
ISABELLA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2710 W SAHUARO DR, PHOENIX, AZ 85029-4545
(623) 203-0672
Mailing address
2710 W SAHUARO DR, PHOENIX, AZ 85029-4545
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-91494
AZ
Other
Enumeration date
07/06/2019
Last updated
07/06/2019
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