Individual
ELIZABETH BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16620 N 40TH ST BLDG I, PHOENIX, AZ 85032-3348
(480) 801-0101
Mailing address
1418 W CRAPE RD, QUEEN CREEK, AZ 85140-7816
(818) 518-6970
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-001612
AZ
Other
Enumeration date
05/20/2014
Last updated
01/30/2025
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