Individual
JUSTIN CANLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA, LBA
Contact information
Practice address
2150 S COUNTRY CLUB DR STE 38, MESA, AZ 85210-6886
(619) 795-9925
Mailing address
4267 E TOLEDO ST, GILBERT, AZ 85295-0252
(614) 592-0680
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-001361
AZ
Other
Enumeration date
03/08/2024
Last updated
01/23/2025
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