Individual
COLLYN COLBY BROSSEIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4304 E CAMPBELL AVE APT 1033, PHOENIX, AZ 85018-3779
(480) 570-6856
Mailing address
4304 E CAMPBELL AVE APT 1033, PHOENIX, AZ 85018-3779
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/09/2009
Last updated
12/09/2009
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