Individual
MICHELE BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., BCBA
Contact information
Practice address
1620 N 48TH ST, PHOENIX, AZ 85008-7723
(818) 345-2345
(866) 587-2383
Mailing address
19019 VENTURA BLVD, TARZANA, CA 91356-3253
(818) 345-2345
(866) 587-2383
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
03/31/2010
Last updated
03/31/2010
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