Individual
CHASITY STAR SEZATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11221 N 28TH DR BLDG E, PHOENIX, AZ 85029-5615
(480) 349-7117
Mailing address
11375 E SAHUARO DR APT 1020, SCOTTSDALE, AZ 85259-4065
(602) 527-0761
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA-0322
AZ
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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