Individual
HALEY SHYANNE LURTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12725 W INDIAN SCHOOL RD BLDG D, AVONDALE, AZ 85392-9520
(623) 207-7190
Mailing address
1891 N LITCHFIELD RD APT 160, GOODYEAR, AZ 85395-1604
(402) 804-0493
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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