Individual
KEONI KAI SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
14765 W MOUNTAIN VIEW BLVD STE 107, SURPRISE, AZ 85374-2704
(602) 649-0245
Mailing address
14765 W MOUNTAIN VIEW BLVD STE 107, SURPRISE, AZ 85374-2704
(602) 649-0245
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-261712
—
Other
Enumeration date
05/19/2023
Last updated
09/11/2025
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