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Individual

JULIET SUMBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
821 E 47TH ST, TUCSON, AZ 85713-5009
(520) 232-2021
Mailing address
9150 E RAINSAGE ST, TUCSON, AZ 85747-5388

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
329667
AZ
Enumeration date
01/08/2021
Last updated
01/08/2021
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