Individual
AGATHA BONSU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19258 N COMET TRL, MARICOPA, AZ 85138-5811
(614) 806-0145
Mailing address
19258 N COMET TRL, MARICOPA, AZ 85138-5811
(614) 806-0145
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
6489392
AZ
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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