Individual
CHARLYSSA SAMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18521 E QUEEN CREEK RD, QUEEN CREEK, AZ 85142-5866
(480) 361-1025
Mailing address
18521 E QUEEN CREEK RD, QUEEN CREEK, AZ 85142-5866
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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