Individual
CHRISTIAN W PEABODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17235 N 75TH AVE STE G120, GLENDALE, AZ 85308-0895
(480) 812-4789
Mailing address
7500 SAN FELIPE ST, HOUSTON, TX 77063-1707
(866) 610-0580
(866) 611-1558
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AZ
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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