Individual
ALANA SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
290 S ALMA SCHOOL RD STE 1, CHANDLER, AZ 85224-7633
(480) 812-2110
Mailing address
12009 S EQUESTRIAN TRL, PHOENIX, AZ 85044-3438
(602) 697-5636
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
D09196235
AZ
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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