Individual
GRETCHEN LLANES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12828 S 193RD AVE, BUCKEYE, AZ 85326-4442
(602) 301-6416
Mailing address
12828 S 193RD AVE, BUCKEYE, AZ 85326-4442
(602) 301-6416
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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