Individual
CIERA ELIZABETH MAUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
5859 W TALAVI BLVD STE 180, GLENDALE, AZ 85306-1873
(602) 560-2836
(317) 520-8200
Mailing address
10900 N SCOTTSDALE RD STE 501, SCOTTSDALE, AZ 85254-5236
(480) 608-5232
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-20-40899
—
103K00000X
Behavior Analyst
Primary
BEH-000660
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-20-40899
BCBA CERTIFICATE
—
Enumeration date
02/28/2020
Last updated
03/04/2022
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