Individual
AILYN D DURRUTHY ELIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2045 S VINEYARD, MESA, AZ 85210-6889
(480) 656-3530
Mailing address
2045 S VINEYARD STE 123, MESA, AZ 85210-6893
(480) 656-3530
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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