Individual
LAUREN BENITEZ VALDES-BASANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2045 S VINEYARD STE 223, MESA, AZ 85210-6826
(480) 656-3530
(480) 685-9879
Mailing address
2045 S VINEYARD STE 223, MESA, AZ 85210-6826
(480) 656-3530
(480) 685-9879
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-121880
AZ
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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