Individual
CHARMON K ADDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11175 W ROOSEVELT ST UNIT 169, AVONDALE, AZ 85323-5022
(910) 585-6206
Mailing address
11175 W ROOSEVELT ST UNIT 169, AVONDALE, AZ 85323-5022
(910) 585-6206
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AZ
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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