Individual
MAILE ANCHANEE SHIPLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
15116 N COTTON LN, SURPRISE, AZ 85388-9618
(623) 322-8250
Mailing address
15116 N COTTON LN, SURPRISE, AZ 85388-9618
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AZ
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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