Individual
COLLEEN FLANAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2451 E BASELINE RD STE 420, GILBERT, AZ 85234-2472
(480) 474-4173
Mailing address
2545 E JEROME AVE, MESA, AZ 85204-7026
(512) 527-4445
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-118845
AZ
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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