Individual
KRISTIE LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 N 18TH ST, PHOENIX, AZ 85006-4103
(602) 340-8717
Mailing address
300 N 18TH ST, PHOENIX, AZ 85006-4103
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-22-60314
AZ
103K00000X
Behavior Analyst
Primary
BEH-000979
AZ
Other
Enumeration date
12/29/2017
Last updated
08/05/2022
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