Individual
ARDIE JENKINS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2735 E MAIN ST STE 9, MESA, AZ 85213-9269
(480) 534-4000
Mailing address
2735 E MAIN ST STE 9, MESA, AZ 85213-9269
(480) 534-4000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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