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Individual

ARIANNA VATSANNA SENLOUANGRAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT, BCAT

Contact information

Practice address
538 S GILBERT RD, GILBERT, AZ 85296-2268
(480) 482-5011
Mailing address
21600 OXNARD ST, WOODLAND HILLS, CA 91367-4976
(818) 345-2345

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
00002045
AZ
106S00000X
Behavior Technician
Primary
RBT-17-4614
AZ

Other

Enumeration date
01/26/2018
Last updated
01/26/2018
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