Individual
CIERA SHAYNE PEART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14751 N 141ST LN, SURPRISE, AZ 85379-8719
(858) 395-0460
Mailing address
14751 N 141ST LN, SURPRISE, AZ 85379-8719
(858) 395-0460
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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