Individual
ISABELLE GRACE AUDIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
912 W CHANDLER BLVD STE B-7, CHANDLER, AZ 85225-2510
(480) 637-4566
Mailing address
1832 W ENCINAS ST, GILBERT, AZ 85233-2316
(480) 204-2810
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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