Individual
AMRAN DAWLATZAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5060 N 19TH AVE STE 406-5, PHOENIX, AZ 85015-3210
(480) 828-6226
Mailing address
5060 N 19TH AVE STE 406-5, PHOENIX, AZ 85015-3210
(480) 828-6226
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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