Individual
KENDRA MCDOUGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16091 W DESERT LN, SURPRISE, AZ 85374-7851
(562) 745-4669
Mailing address
15460 W REDFIELD RD, SURPRISE, AZ 85379-8015
(602) 578-0797
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
1356151765
AZ
Other
Enumeration date
01/08/2025
Last updated
09/11/2025
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