Individual
KIMBERLY BORICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,BCBA,LBA
Contact information
Practice address
20402 N 15TH AVE, PHOENIX, AZ 85027-3636
(518) 321-9438
Mailing address
20402 N 15TH AVE, PHOENIX, AZ 85027-3636
(518) 321-9438
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000645
VA
Other
Enumeration date
09/17/2015
Last updated
07/24/2026
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