Individual
CHARELE SELONKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2266 S DOBSON RD STE 200, MESA, AZ 85202-6412
(480) 757-8090
Mailing address
2266 S DOBSON RD STE 200, MESA, AZ 85202-6412
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
RBT-22-203257
AZ
106S00000X
Behavior Technician
Primary
RBT-22-203257
AZ
Other
Enumeration date
03/04/2022
Last updated
03/04/2022
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