Individual
NICOLE LANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37200 N GANTZEL RD STE 150, SAN TAN VALLEY, AZ 85140-7383
(520) 484-1111
Mailing address
1132 N SETON AVE, GILBERT, AZ 85234-2121
(480) 415-8910
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/01/2021
Last updated
09/30/2024
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