Organization
EVOLVE DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIA DROUIN BCB A (OWNER)
(480) 550-6657
Entity
Organization
Contact information
Practice address
1010 E UNIVERSITY DR STE 3, MESA, AZ 85203-8055
(480) 550-6657
(928) 365-9866
Mailing address
1010 E UNIVERSITY DR STE 3, MESA, AZ 85203-8055
(480) 550-6657
(928) 365-9866
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103T00000X
Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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