Individual
MICHAL EAGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA, LBA
Contact information
Practice address
853 N BARKLEY, MESA, AZ 85203-5716
(480) 246-6850
Mailing address
853 N BARKLEY, MESA, AZ 85203-5716
(480) 246-6850
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-32841
AZ
103K00000X
Behavior Analyst
BEH-000578
AZ
Other
Enumeration date
04/26/2019
Last updated
11/09/2022
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