Individual
KEISHA M SOLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
99 W PALOMINO DR APT 208, CHANDLER, AZ 85225-7713
(323) 812-1216
Mailing address
99 W PALOMINO DR APT 208, CHANDLER, AZ 85225-7713
(323) 812-1216
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
10079911
AZ
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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