Organization
LAS RAICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULINE CRYSTAL BROWN (BCBA)
(480) 865-9506
Entity
Organization
Contact information
Practice address
4524 N MARYVALE PKWY STE 280, PHOENIX, AZ 85031-1734
(602) 209-4965
(386) 703-1162
Mailing address
4524 N MARYVALE PKWY STE 280, PHOENIX, AZ 85031-1734
(602) 209-4965
(386) 703-1162
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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