Individual
ANTONIA HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4501 N CAMINO DEL OBISPO, TUCSON, AZ 85718-6605
(855) 462-3672
Mailing address
PO BOX 4799, ARIZONA CITY, AZ 85123-2758
(480) 682-7682
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
D11119384
AZ
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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