Individual
MISS LAUREN WASSERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA/BHT
Contact information
Practice address
4343 N 16TH ST, PHOENIX, AZ 85016-5338
(602) 247-4343
Mailing address
4343 N 16TH ST, PHOENIX, AZ 85016-5338
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/15/2021
Last updated
08/17/2021
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