Individual
RAEOSHA SHANELLE HUFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
865 S WATSON RD STE 109, BUCKEYE, AZ 85326-3468
(480) 571-5580
Mailing address
865 S WATSON RD STE 109, BUCKEYE, AZ 85326-3468
(480) 571-5580
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-001544
AZ
Other
Enumeration date
02/24/2022
Last updated
11/20/2024
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