Individual
DANTE BOUSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2942 N 24TH STEET, STE 114 ROOM 26, PHOENIX, AZ 85016
(702) 487-5480
Mailing address
2942 N 24TH STEET, STE 114 ROOM 26, PHOENIX, AZ 85016
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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