Individual
BRIDGET CHRISTINE KHOSHABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 W RAY RD STE 101, CHANDLER, AZ 85226-2475
(480) 869-7428
Mailing address
3896 E TAURUS PL, CHANDLER, AZ 85249-5861
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-306060
AZ
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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