Individual
ASHTYN NICOLE DIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3201 W PEORIA AVE STE B301, PHOENIX, AZ 85029-4618
(602) 525-4624
Mailing address
32311 N 18TH AVE, PHOENIX, AZ 85085-8080
(602) 525-4624
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AZ
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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