Individual
EMERALD WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 W RAY RD STE 201, CHANDLER, AZ 85226-2472
(520) 344-2215
(772) 675-9100
Mailing address
855 W SOUTHERN AVE, MESA, AZ 85210-5037
(928) 514-6853
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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