Individual
MARNEISHA Y KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11747 N 19TH AVE STE 104, PHOENIX, AZ 85029-3590
(602) 341-6403
Mailing address
11747 N 19TH AVE STE 104, PHOENIX, AZ 85029-3590
(602) 341-6403
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AZ
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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