Organization
VALLEY PEDIATRIC ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN MICHALA SO MA, BCBA/LBA (BCBA)
(602) 579-7961
Entity
Organization
Contact information
Practice address
2919 S ELLSWORTH RD STE 115, MESA, AZ 85212-2165
(480) 466-0148
Mailing address
19760 S MESQUITE DR, QUEEN CREEK, AZ 85142-3458
(602) 579-7961
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/20/2021
Last updated
05/31/2024
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