Individual
LAURA WEHRLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2451 E BASELINE RD STE 420, GILBERT, AZ 85234-2472
(480) 612-0395
Mailing address
1030 S DOBSON RD APT 99, MESA, AZ 85202-2923
(770) 680-1771
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-140929
AZ
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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