Individual
SIERRA COCOBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12540 W FLYNN LN, GLENDALE, AZ 85307-1998
(480) 825-6091
Mailing address
12540 W FLYNN LN, GLENDALE, AZ 85307-1998
(480) 825-6091
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
2355S0801X
Speech-Language Assistant
Primary
SLPA16694
AZ
Other
Enumeration date
12/28/2022
Last updated
08/20/2025
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