Individual
NGABHO RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6618 W BRANHAM LN, LAVEEN, AZ 85339-2724
(480) 600-8395
Mailing address
6618 W BRANHAM LN, LAVEEN, AZ 85339-2724
(480) 600-8395
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
BH8370
AZ
171400000X
Health & Wellness Coach
Primary
BH8370
AZ
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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