Individual
ELYSE LAFARELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
300 N 18TH ST, PHOENIX, AZ 85006-4103
(602) 340-8717
Mailing address
300 N 18TH ST, PHOENIX, AZ 85006-4103
(602) 340-8717
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/18/2017
Last updated
07/21/2022
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