Individual
FALLON ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2314 S VAL VISTA DR STE 201, GILBERT, AZ 85295-5594
(623) 263-3966
Mailing address
2314 S VAL VISTA DR STE 201, GILBERT, AZ 85295-5594
(623) 263-3966
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-78007
AZ
Other
Enumeration date
11/09/2022
Last updated
10/21/2025
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