Individual
MISS BRIELLE ELENA GROTENHUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
245 E SHEFFIELD CT, GILBERT, AZ 85296-4050
(480) 247-1037
Mailing address
245 E SHEFFIELD CT, GILBERT, AZ 85296-4050
(480) 247-1037
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
CG60706786
WA
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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