Individual
ARISTAGES NIKOLAEVICH KAGRAMANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
3100 W RAY RD STE 201, CHANDLER, AZ 85226-2472
(623) 400-3330
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(185) 583-2672
(772) 675-9100
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-311866
AZ
Other
Enumeration date
09/07/2024
Last updated
09/07/2024
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