Individual
STEPHANIE BAKAZAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
2222 S DOBSON RD # 9, MESA, AZ 85202-6481
(602) 926-7200
(602) 368-2730
Mailing address
2222 S DOBSON RD # 9, MESA, AZ 85202-6481
(602) 926-7200
(602) 368-2730
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-000507
AZ
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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