Individual
GABRIEL CORTIZE JOHN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BEHAVIOR TECHNICIAN
Contact information
Practice address
2737 W SOUTHERN AVE STE 8, TEMPE, AZ 85282-4244
(480) 999-1190
Mailing address
2737 W SOUTHERN AVE STE 8, TEMPE, AZ 85282-4244
(480) 999-1190
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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