Individual
ALLIE JUSTINE MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
21045 N 9TH PL STE 204, PHOENIX, AZ 85024-5635
(480) 740-4130
Mailing address
21045 N 9TH PL STE 204, PHOENIX, AZ 85024-5635
(224) 475-2844
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-001459
AZ
Other
Enumeration date
02/27/2019
Last updated
07/08/2025
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