Individual
DR. NANCY LEE BAUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, CHT
Contact information
Practice address
13460 N 94TH DR, PEORIA, AZ 85381-4835
(866) 930-0388
(623) 974-3390
Mailing address
13460 N 94TH DR, PEORIA, AZ 85381-4835
(866) 930-0388
(623) 974-3390
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
B76-1789
AZ
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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