Individual
MARANDA DENISE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT, BS
Contact information
Practice address
300 N 18TH ST, PHOENIX, AZ 85006-4103
(602) 340-8717
Mailing address
300 N 18TH ST, PHOENIX, AZ 85006-4103
(623) 340-8717
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-33926
AZ
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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