Individual
NIKITSHIA CORZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
1620 N 48TH ST, PHOENIX, AZ 85008-7723
(602) 325-2485
(602) 225-2485
Mailing address
1620 N 48TH ST, PHOENIX, AZ 85008-7723
(602) 325-2485
(602) 225-2485
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-01-9483
—
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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