Individual
IMANI LYTCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14804 N CAVE CREEK RD, PHOENIX, AZ 85032-4945
(980) 230-1759
Mailing address
16601 N 12TH ST, PHOENIX, AZ 85022-2714
(725) 277-5433
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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