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Individual

MARIA E GERVAIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
401 N BONITA AVE, TUCSON, AZ 85745-2750
(520) 721-1887
(520) 721-0069
Mailing address
PO BOX 17749, TUCSON, AZ 85731-7749
(520) 784-5384
(520) 318-6933

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-000437
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BEH-000437
ARIZONA STATE BOARD OF PSYCHOLOGIST EXAMINERS
AZ
Enumeration date
03/20/2019
Last updated
08/14/2024
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