Individual
LILY M HA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2338 W ROYAL PALM RD STE J, PHOENIX, AZ 85021-9339
(855) 772-8847
(855) 568-2494
Mailing address
2338 W ROYAL PALM RD STE J, PHOENIX, AZ 85021-9339
(855) 772-8847
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
11935118
TX
103K00000X
Behavior Analyst
Primary
11935118
TX
Other
Enumeration date
04/18/2019
Last updated
11/04/2024
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