Individual
MRS. ASHLEY MICHELLE MATHIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.C.B.A.
Contact information
Practice address
18521 E QUEEN CREEK RD STE 105-627, QUEEN CREEK, AZ 85142-5870
(801) 380-0754
Mailing address
2648 RED SKY WAY, SIERRA VISTA, AZ 85635
(801) 380-0754
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-13696
AZ
Other
Enumeration date
07/19/2013
Last updated
07/19/2013
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