Individual
MAKITA M WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
2222 S DOBSON RD BLDG 9, MESA, AZ 85202-6481
(602) 926-7200
(602) 368-2730
Mailing address
5504 S HEATHER DR, TEMPE, AZ 85283-2202
(480) 353-7010
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-86807
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-19-86807
BEHAVIOR ANALYST CERTIFICATION BOARD
AZ
Enumeration date
05/15/2019
Last updated
05/15/2019
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