Individual
KATHERINE ELIZABETH MARIE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
4602 E UNIVERSITY DR, PHOENIX, AZ 85034-7421
(888) 754-0398
Mailing address
6416 NW 5TH WAY, FORT LAUDERDALE, FL 33309-6112
(888) 754-0398
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AZ
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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