Individual
JORGE DE CARDENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
2045 S VINEYARD STE 223, MESA, AZ 85210-6826
(480) 656-3530
(480) 685-9879
Mailing address
3249 E INDIGO BAY CT, GILBERT, AZ 85234-1736
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-1-07-3468
FL
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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