Individual
LAREINA COTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13601 N LITCHFIELD RD. STE. 124, SURPRISE, AZ 85379
(623) 322-8250
Mailing address
15508 W. BELL RD. STE 101-261, SURPRISE, AZ 85374
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AZ
Other
Enumeration date
01/31/2021
Last updated
01/31/2021
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