Individual
SUSAN LOMBNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA, BHP
Contact information
Practice address
1830 S ALMA SCHOOL RD STE 130, MESA, AZ 85210-3088
(480) 737-3773
Mailing address
1848 N 52ND ST, PHOENIX, AZ 85008-3402
(480) 737-3773
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-000432
AZ
Other
Enumeration date
07/06/2017
Last updated
02/28/2019
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