Individual
RENE SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
4530 E MUIRWOOD DR, SUITE 103, PHOENIX, AZ 85048-7639
(480) 610-6981
(480) 898-7419
Mailing address
4530 E MUIRWOOD DR, SUITE 103, PHOENIX, AZ 85048-7639
(480) 610-6981
(480) 898-7419
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-17744
CA
Other
Enumeration date
05/14/2015
Last updated
09/07/2016
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