Individual
MICHAEL DORANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA, LBA
Contact information
Practice address
20414 N 27TH AVE STE 410, PHOENIX, AZ 85027-3250
(623) 263-3966
Mailing address
20414 N 27TH AVE STE 410, PHOENIX, AZ 85027-3250
(623) 263-3966
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-74184
AZ
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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