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Individual

EMILEY ANN GEITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
20860 N TATUM BLVD, PHOENIX, AZ 85050-4274
(866) 342-8847
Mailing address
815 N 52ND ST APT 2390, PHOENIX, AZ 85008-6771
(951) 241-2482

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-68540
AZ

Other

Enumeration date
10/26/2018
Last updated
10/26/2018
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