Individual
JOHN ARTHUR ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2432 W. PEORIA AVENUE, BUILDING 5, SUITE 1114, PHOENIX, AZ 85029
(602) 661-7488
(602) 661-7499
Mailing address
2432 W. PEORIA AVENUE, BUILDING 5, SUITE 1114, PHOENIX, AZ 85029
(602) 661-7488
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AZ
172A00000X
Driver
—
AZ
175T00000X
Peer Specialist
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y99000179
ARIZONA MOTOR VEHICLE DIVISION
AZ
Enumeration date
07/12/2022
Last updated
07/12/2022
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