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Individual

CYNTHIA KIBOKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
20414 N 27TH AVE STE 410, PHOENIX, AZ 85027-3250
(623) 263-3966
Mailing address
802 N 1ST AVE UNIT 1423, PHOENIX, AZ 85003-1835
(832) 882-2224

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
TX
106S00000X
Behavior Technician
00004654
TX
106S00000X
Behavior Technician
RBT-17-47041
TX

Other

Enumeration date
02/05/2018
Last updated
05/07/2026
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