| Las Raices Llc | |
|
10738 N 184th Dr Surprise AZ 85388-2308 | |
| (602) 209-4965 | |
| (386) 703-1162 |
| Full Name | Las Raices Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 10738 N 184th Dr, Surprise, Arizona |
| Authorized Official Name and Position | Pauline Crystal Brown (BCBA) |
| Authorized Official Contact | 4808659506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Las Raices Llc 10738 N 184th Dr Surprise AZ 85388-2308 Ph: (602) 209-4965 | Las Raices Llc 10738 N 184th Dr Surprise AZ 85388-2308 Ph: (602) 209-4965 |
| NPI Number | 1336029677 |
|---|---|
| Provider Enumeration Date | 09/05/2025 |
| Last Update Date | 06/04/2026 |
| Certification Date | 06/04/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336029677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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