Individual
MAURA BASILIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11225 N 28TH DR STE C202, PHOENIX, AZ 85029-5600
(480) 757-8090
Mailing address
3938 W NORTHERN AVE, PHOENIX, AZ 85051-5764
(602) 491-4549
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/07/2021
Last updated
12/22/2025
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