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Individual

CHRISTINE HERRERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., BCBA-LBA

Contact information

Practice address
3200 N DOBSON RD STE F-2, CHANDLER, AZ 85224-9611
(480) 722-1300
Mailing address
3511 E PENEDES DR, GILBERT, AZ 85298-0839

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-32711
AZ
106S00000X
Behavior Technician
RBT-16-21759
AZ

Other

Enumeration date
01/08/2018
Last updated
05/10/2019
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