Individual provider · NPI-1

Anessa Abara

Behavior Technician · Phoenix, AZ

NPI number1023746575
StatusActive
Last updated in NPPESAug 11, 2022

Details

NPI
1023746575
Entity type
Individual (NPI-1)
Name
Anessa Abara
Sex
Female
Sole proprietor
No
Enumeration date
Aug 11, 2022
Certification date
Aug 11, 2022
Last updated
Aug 11, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

4170 N 108th Ave
Phoenix, AZ 85037-5469

Phone 480-751-1957

Mailing address

300 International Pkwy Ste 200
Lake Mary, FL 32746-5028

Phone 866-610-0580

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