Individual
ELLA QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1303 S LONGMORE STE 2, MESA, AZ 85202-9607
(480) 712-5181
Mailing address
117 W BROADWAY RD APT 3, TEMPE, AZ 85282-1307
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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