Individual
LIZBETH PROKOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20145 N KOLB RD., STE.107-495, PHOENIX, AZ 85004
(520) 505-2810
(602) 581-3026
Mailing address
20145 N 9TH PLACE STE 204, PHOENIX, AZ 85024
(520) 505-2810
(602) 581-3026
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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