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Takayla Hawthorne

Behavior Technician in Glendale, AZ. Individual provider (NPI-1).

NPI number1144944935
StatusActive
Last updated in NPPESSep 27, 2022

Details

NPI
1144944935
Entity type
Individual (NPI-1)
Name
Takayla Hawthorne
Sex
Female
Sole proprietor
No
Enumeration date
Sep 27, 2022
Certification date
Sep 27, 2022
Last updated
Sep 27, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

17235 N 75th Ave
Suite G-120
Glendale, AZ 85308-0831

Phone 303-989-8169

Mailing address

17235 N 75th Ave
Suite G-120
Glendale, AZ 85308-0831

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