Individual
RULA DIAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12760 E JENAN DR, SCOTTSDALE, AZ 85259-3448
(480) 277-3043
Mailing address
12760 E JENAN DR, SCOTTSDALE, AZ 85259-3448
(480) 277-3043
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-28224
AZ
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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