Individual
LUPE SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHT, AAS
Contact information
Practice address
422 W IVYGLEN ST, MESA, AZ 85201-2107
(480) 969-3800
Mailing address
924 N COUNTRY CLUB DR, MESA, AZ 85201-4108
(480) 969-3800
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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