Individual
ANNA RUSIECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2095 W PINNACLE PEAK RD UNIT 110B, PHOENIX, AZ 85027-1247
(480) 210-8244
Mailing address
2095 W PINNACLE PEAK RD UNIT 110B, PHOENIX, AZ 85027-1247
(480) 210-8244
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/21/2021
Last updated
01/31/2025
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