Individual
LYSBETH PUENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2445 W DUNLAP AVE STE 210, PHOENIX, AZ 85021-5815
(623) 263-3966
Mailing address
4366 W 12TH PL, YUMA, AZ 85364-8471
(928) 257-8883
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-000518
AZ
Other
Enumeration date
08/31/2015
Last updated
04/09/2026
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