Individual
AMI LYNN BISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
82 W RAY RD, GILBERT, AZ 85233-8537
(602) 535-8341
Mailing address
5210 E HAMPTON AVE APT 1221, MESA, AZ 85206-3458
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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