Individual
ANASTASIA RANA BRUBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2044 N RECKER RD, MESA, AZ 85215-2744
(623) 745-0788
Mailing address
836 W BROWN ST APT D, TEMPE, AZ 85281-3560
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
07/20/2022
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