Individual
DWAYNE PETRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13601 N LITCHFIELD RD STE 124, SURPRISE, AZ 85379-4260
(623) 322-8250
Mailing address
15508 W BELL RD STE 101-261, SURPRISE, AZ 85374-2432
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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