Individual
DANDRE LAWRENCE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
726 N GREENFIELD RD STE 110, GILBERT, AZ 85234-5062
(602) 649-0248
Mailing address
1235 W BASELINE RD APT 323, TEMPE, AZ 85283-5949
(602) 860-0420
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
D52235765
AZ
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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