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Individual

CIARRAH WAUKON-LATRAILLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
6487 W CASTLE PINES WAY, TUCSON, AZ 85757-1503
(520) 222-6538
(520) 300-7240
Mailing address
6487 W CASTLE PINES WAY, TUCSON, AZ 85757-1503
(520) 222-6538
(520) 300-7240

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-214166

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RBT-22-214166
BACB- RBT CERTIFICATION
Enumeration date
05/24/2022
Last updated
05/24/2022
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