Individual
LAVONTIS NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4515 S MCCLINTOCK DR, TEMPE, AZ 85282-7376
(725) 277-5433
Mailing address
4515 S MCCLINTOCK DR, TEMPE, AZ 85282-7376
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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