Individual
MRS. RAAKEL ELZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2915 N EVERGREEN ST, PHOENIX, AZ 85014-5509
(520) 440-7435
Mailing address
2915 N EVERGREEN ST, PHOENIX, AZ 85014-5509
(520) 440-7435
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA-0209
AZ
Other
Enumeration date
03/30/2016
Last updated
10/09/2020
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