Individual
TIMOTHY ALEXANDER PEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
16610 N BLACK CANYON HWY, PHOENIX, AZ 85053-4036
(580) 730-4529
Mailing address
8002 E 50TH DR, DENVER, CO 80238-3299
(720) 961-3764
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/24/2020
Last updated
12/06/2024
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