Individual
JOLISA MOONEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1955 W GRANT RD STE 180, TUCSON, AZ 85745-1475
(844) 333-6642
(520) 333-3060
Mailing address
1955 W GRANT RD STE 180, TUCSON, AZ 85745-1475
(844) 333-6642
(520) 333-3060
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-000412
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BEH-000412
STATE LICENSE
AZ
Enumeration date
12/20/2018
Last updated
12/20/2018
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