Individual
BRANDY MARIE MAMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA, LBA
Contact information
Practice address
2 N CENTRAL AVE STE 1800, PHOENIX, AZ 85004-2139
(602) 878-2493
Mailing address
35433 N BLANFORD LN, SAN TAN VALLEY, AZ 85140-0211
(386) 338-7816
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-001437
AZ
Other
Enumeration date
09/03/2021
Last updated
04/13/2025
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