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Individual

DR. JEANNIE MARIE AGUILAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D., BCBA-D

Contact information

Practice address
2338 W ROYAL PALM RD STE J, PHOENIX, AZ 85021-9339
(855) 772-8847
Mailing address
2338 W ROYAL PALM RD STE J, PHOENIX, AZ 85021-9339
(855) 772-8847

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-07-3729

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-07-3729
BEHAVIOR ANALYST CERTIFICATION BOARD
Enumeration date
08/31/2008
Last updated
11/07/2024
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