Individual
ANTHONY BENAVIDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2190 W PASEO REDONDO, ORACLE, AZ 85623-7007
(520) 591-5947
Mailing address
2190 W PASEO REDONDO, ORACLE, AZ 85623-7007
(520) 591-5947
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
D03402227
AZ
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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