Individual
GENOA SAGE INMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
899 N QUAIL LN, GILBERT, AZ 85233-3223
(480) 306-9811
Mailing address
899 N QUAIL LN, GILBERT, AZ 85233-3223
(480) 306-9811
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-22-205103
AZ
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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