Individual
MARILYN SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4717 E MCDOWELL RD, PHOENIX, AZ 85008-4544
(602) 472-3085
Mailing address
4717 E MCDOWELL RD, PHOENIX, AZ 85008-4544
(602) 472-3085
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AZ
175T00000X
Peer Specialist
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
883959689
—
AZ
Enumeration date
01/12/2023
Last updated
01/12/2023
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