Organization
ESSENTIAL BEHAVIORAL DEVELOPMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE DOWNIE MBA, MED, BCBA (OWNER AND BCBA)
(623) 330-6874
Entity
Organization
Contact information
Practice address
21973 N 102ND LN LOT 410, PEORIA, AZ 85383-2693
(623) 330-6874
Mailing address
21973 N 102ND LN LOT 410, PEORIA, AZ 85383-2693
(623) 330-6874
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-000093
AZ
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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