Individual
BROWN MUTURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3435 W SAINT KATERI DR, PHOENIX, AZ 85041-5284
(623) 234-0963
Mailing address
3435 W SAINT KATERI DR, PHOENIX, AZ 85041-5284
(623) 234-0963
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BH8149
AZ
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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