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Individual

LAURA SURA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9150 W INDIAN SCHOOL RD STE 105, PHOENIX, AZ 85037-2385
(520) 231-7380
Mailing address
8505 W TAYLOR ST, TOLLESON, AZ 85353-2605

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-462670
AZ

Other

Enumeration date
02/13/2026
Last updated
02/13/2026
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