Individual
AYANA MAE COLTER
Active
Sole proprietor
Yes
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
4028 W GARDENIA AVE, PHOENIX, AZ 85051-7325
(520) 231-7380
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1406625
AZ
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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