Individual
MICHELLE EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBA, BCBA
Contact information
Practice address
9208 N 43RD AVE, GLENDALE, AZ 85302-3852
(602) 842-7218
Mailing address
9208 N 43RD AVE, GLENDALE, AZ 85302-3852
(602) 842-7218
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33607
CA
106S00000X
Behavior Technician
00001169
CA
106S00000X
Behavior Technician
RBT-15-02833
CA
Other
Enumeration date
02/14/2018
Last updated
02/20/2025
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