| None | |
|
1302 W Kesler Ln Chandler AZ 85224-7286 | |
| (480) 559-5991 | |
| (480) 268-7738 |
| Full Name | None |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1302 W Kesler Ln, Chandler, Arizona |
| Authorized Official Name and Position | Samuel Njuguna Marira (PROGRAM DIRECTOR) |
| Authorized Official Contact | 4805595991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| None 1302 W Kesler Ln Chandler AZ 85224-7286 Ph: (480) 559-5991 | None 1302 W Kesler Ln Chandler AZ 85224-7286 Ph: (480) 559-5991 |
| NPI Number | 1639493406 |
|---|---|
| Provider Enumeration Date | 03/22/2010 |
| Last Update Date | 03/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639493406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 3531 (Arizona) | Primary |
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