Individual
CHERYL ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SBD
Contact information
Practice address
18122 W DESERT VIEW LN, GOODYEAR, AZ 85338-5065
(623) 256-7470
Mailing address
500 N ESTRELLA PKWY # B2-429, GOODYEAR, AZ 85338-4135
(623) 499-2341
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
374J00000X
Doula
Primary
—
AZ
Other
Enumeration date
05/07/2022
Last updated
02/09/2023
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