Individual
MRS. CARMEN MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11225 N 28TH DR STE C206, PHOENIX, AZ 85029-5600
(623) 250-5239
(623) 439-7349
Mailing address
PO BOX 129, LITCHFIELD PARK, AZ 85340-0129
(623) 250-5239
(623) 439-7349
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/22/2022
Last updated
05/13/2025
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