Individual
TARA KIENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBA, BCBA
Contact information
Practice address
4150 W PEORIA AVE STE 133, PHOENIX, AZ 85029-3954
(602) 288-8883
Mailing address
16430 E ASHBROOK DR # 1, FOUNTAIN HILLS, AZ 85268-2899
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
127
AZ
Other
Enumeration date
02/16/2015
Last updated
04/19/2018
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