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Individual

ERICK ROTICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6218 W RAYMOND ST, PHOENIX, AZ 85043-1918
(520) 339-3327
Mailing address
6221 W ILLINI ST, PHOENIX, AZ 85043-1915
(520) 339-3327

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
12/19/2019
Last updated
12/19/2019
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