Individual
MR. ALEXANDER HAZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., BCBA/LBA
Contact information
Practice address
1305 S GILBERT RD, GILBERT, AZ 85296-4019
(480) 621-8361
(280) 621-8513
Mailing address
1305 S GILBERT RD, GILBERT, AZ 85296-4019
(480) 621-8361
(480) 621-8513
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-000550
AZ
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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