Individual
GRACE KATHERINE BROTHERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
12100 N DYSART RD, EL MIRAGE, AZ 85335
(480) 660-8809
Mailing address
12100 N DYSART RD, EL MIRAGE, AZ 85335
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
RBT-20-134387
AZ
Other
Enumeration date
10/01/2020
Last updated
09/20/2024
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