Individual
DARIIA GWINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18444 N 25TH AVE, PHOENIX, AZ 85023-1261
(480) 239-9794
Mailing address
21168 E OCOTILLO RD # 1027, QUEEN CREEK, AZ 85142-8175
(623) 703-7810
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-000687
AZ
Other
Enumeration date
06/18/2021
Last updated
12/16/2021
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