Individual
IDARA AKPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2150 S COUNTRY CLUB DR STE 36, MESA, AZ 85210-6886
(619) 795-9925
Mailing address
1493 E BLUE SPRUCE LN, GILBERT, AZ 85298-0752
(916) 580-7418
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AZ
Other
Enumeration date
04/11/2026
Last updated
04/11/2026
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