Individual
ANTOINETTE MALINDA WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
600 W RAY RD STE D3, CHANDLER, AZ 85225-7266
(480) 628-5339
Mailing address
2620 E AUGUSTA AVE, CHANDLER, AZ 85249-4875
(480) 628-5339
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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