Individual
MRS. STEPHANIE GENTEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1680 N MAGUIRE AVE, TUCSON, AZ 85715-5112
(520) 991-0877
Mailing address
1680 N MAGUIRE AVE, TUCSON, AZ 85715-5112
(520) 991-0877
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA45
AZ
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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