Individual
MAKENNA SALLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
865 S WATSON RD STE 118, BUCKEYE, AZ 85326-3468
(623) 212-1040
(623) 212-1041
Mailing address
14287 N 87TH ST STE 220, SCOTTSDALE, AZ 85260-3698
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
Primary
10097
AZ
Other
Enumeration date
09/03/2021
Last updated
08/26/2025
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