Individual
KELSEY LILIANNA ALDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10133 N 92ND ST, SCOTTSDALE, AZ 85258-4556
(602) 663-9502
Mailing address
10133 N 92ND ST, SCOTTSDALE, AZ 85258-4556
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1096697
AZ
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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