Individual
MISS ASPYN LEEANN WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13481 W MCDOWELL RD STE 400, GOODYEAR, AZ 85395-2725
(623) 471-5586
Mailing address
21600 OXNARD ST, WOODLAND HILLS, CA 91367-4976
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CHA4347
AZ
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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