Individual
SHAUNA L. ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
82 W RAY RD, # 104, GILBERT, AZ 85233-8537
(602) 758-2155
Mailing address
1886 E DON CARLOS AVE UNIT 127, TEMPE, AZ 85281-5076
(602) 758-2155
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-22904
AZ
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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