Individual
DORALIZ MONTIJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3215 W RAY RD, CHANDLER, AZ 85226-2425
(480) 893-7685
Mailing address
3215 W RAY RD, CHANDLER, AZ 85226-2425
(480) 893-7685
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-165016
AZ
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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