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Individual

BAILEY BLAKE KADLEC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED., BCBA-LBA

Contact information

Practice address
3200 N DOBSON RD STE F-2, CHANDLER, AZ 85224-9611
(480) 722-1300
Mailing address
3200 N. DOBSON RD, STE F-2, CHANDLER, AZ 85224-9611
(480) 722-1300
(480) 422-3824

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
BA-320
AZ
103K00000X
Behavior Analyst
Primary
BEH-000320
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
399869
AZ
Enumeration date
05/15/2018
Last updated
11/23/2021
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