Individual
MARIAH WESTERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 N CENTRAL AVE STE 1800, PHOENIX, AZ 85004-2139
(201) 979-1336
(908) 940-0338
Mailing address
175 BELGROVE DR, KEARNY, NJ 07032-1507
(201) 979-1336
(908) 940-0338
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-000387
AZ
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/18/2018
Last updated
03/06/2026
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