Individual
ETHAN SIEGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
550 W WARNER RD, CHANDLER, AZ 85225-4364
(480) 659-5456
Mailing address
550 W WARNER RD, CHANDLER, AZ 85225-4364
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-001336
AZ
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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