Individual
MR. DONNIE DAGGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20455 N 31ST DR, PHOENIX, AZ 85027-3094
(623) 433-6159
Mailing address
20455 N 31ST DR, PHOENIX, AZ 85027-3094
(623) 433-6159
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
5638784
AZ
Other
Enumeration date
04/07/2014
Last updated
04/07/2014
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