Individual
ADARA GREATHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15116 N COTTON LN # SURPRISE, SURPRISE, AZ 85388-9618
(623) 322-8250
Mailing address
15508 W BELL RD STE 101-261, SURPRISE, AZ 85374-2432
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/02/2022
Last updated
07/08/2024
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