Individual
ELIEANA HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
2111 E BASELINE RD, TEMPE, AZ 85283-1516
(480) 489-3925
Mailing address
931 W 19TH ST, TEMPE, AZ 85281-6422
(602) 619-5386
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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