Individual
MRS. JODI M GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1955 W GRANT RD, TUCSON, AZ 85745-1147
(844) 333-6642
Mailing address
1217 W MONTELUPO DR, ORO VALLEY, AZ 85755-8541
(330) 447-5731
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
—
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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