Individual
HAJA SANKOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16645 WEST CENTRAL ST, SURPRISE, AZ 85388
(623) 241-1982
(623) 777-0810
Mailing address
16645 W CENTRAL ST, SURPRISE, AZ 85388-1181
(623) 241-1982
(623) 777-0810
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BH5126
AZ
Other
Enumeration date
08/01/2017
Last updated
07/21/2022
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