Individual
KATELYN Z SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3215 W RAY RD, CHANDLER, AZ 85226-2425
(480) 893-7685
Mailing address
1737 E CORTEZ DR, GILBERT, AZ 85234-4962
(480) 432-0093
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB980781
AZ
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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