Individual
MR. EHREN JOHN WERNTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
5025 E WASHINGTON ST STE 212, PHOENIX, AZ 85034-7439
(602) 773-5778
Mailing address
15045 S 40TH PL, PHOENIX, AZ 85044-6748
(602) 773-5778
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA-59
AZ
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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