Individual
ELIZABETH PUCKERIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21025 N 8TH WAY STE 100, PHOENIX, AZ 85024-4205
(602) 960-8075
Mailing address
2727 E CAMELBACK RD APT 348, PHOENIX, AZ 85016-4476
(540) 479-9681
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/05/2018
Last updated
10/16/2024
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