Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician |
NPI | 1003358227 |
---|---|
Provider Name | Leslie E Arundel |
First Address | Phoenix, AZ 85048-9028 |
Second Address | Phoenix, AZ 85048-8401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2016 |
Last Update Date | 07/11/2016 |