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Individual

IRENE SALAZAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
3420 E SHEA BLVD STE 200, PHOENIX, AZ 85028-3348
(520) 485-8846
Mailing address
8002 E 50TH DR, DENVER, CO 80238-3299
(720) 961-3764

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1738091
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1738091
RBT
CA
Enumeration date
08/26/2019
Last updated
08/26/2019
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