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Individual

COURTNEY DENEVI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA, LBA, LCSW

Contact information

Practice address
1555 S GILBERT RD, MESA, AZ 85204-6000
(480) 750-7058
Mailing address
1555 S GILBERT RD, MESA, AZ 85204-6000
(480) 750-7058

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-21-54491
AZ
104100000X
Social Worker
LMSW-18370
AZ
1041C0700X
Clinical Social Worker
Primary
LCSW-22770
AZ

Other

Enumeration date
02/09/2022
Last updated
01/08/2026
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