Individual
JAIMIE MICHAELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA, LBA
Contact information
Practice address
5601 N 16TH ST, PHOENIX, AZ 85016-2903
(602) 664-7900
Mailing address
3030 E CHARLESTON AVE, PHOENIX, AZ 85032-1170
(602) 568-1617
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-000243
AZ
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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