Individual
AIJSHIA N MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3104 E CAMELBACK RD STE 2969, PHOENIX, AZ 85016-4502
(603) 692-8173
Mailing address
3104 E CAMELBACK RD STE 2969, PHOENIX, AZ 85016-4502
(603) 692-8173
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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