Individual
CARLYN JANAE IRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3869 E CASSIA LN, GILBERT, AZ 85298-0488
(480) 335-8183
Mailing address
3869 E CASSIA LN, GILBERT, AZ 85298-0488
(480) 335-8183
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1017289
AZ
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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