Individual
AUGUSTUS KOHL ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
35438 N SIERRA VISTA DR, SAN TAN VALLEY, AZ 85140-9412
(602) 921-4059
Mailing address
35438 N SIERRA VISTA DR, SAN TAN VALLEY, AZ 85140-9412
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-418163
AZ
Other
Enumeration date
08/11/2026
Last updated
08/11/2026
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