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Organization

BP WARRIORS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KYLIE BURCHARD (OWNER)
(480) 313-2993
Entity
Organization

Contact information

Practice address
1255 W BASELINE RD STE C108, MESA, AZ 85202-5820
(480) 313-2993
Mailing address
1255 W BASELINE RD STE C108, MESA, AZ 85202-5820

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
11/18/2021
Last updated
11/18/2021
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