Individual provider · NPI-1
Robert James Bunn Jr.
Behavior Technician · Phoenix, AZ
NPI number1285335125
StatusActive
Last updated in NPPESMar 16, 2023
Details
- NPI
- 1285335125
- Entity type
- Individual (NPI-1)
- Name
- Mr. Robert James Bunn Jr.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 16, 2023
- Certification date
- Mar 16, 2023
- Last updated
- Mar 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 225800000X | Recreation Therapist | – | – | |
| 225C00000X | Rehabilitation Counselor | – | – | |
| 376J00000X | Homemaker | – | – | |
| 103K00000X | Behavior Analyst | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
4717 E Mcdowell RdPhoenix, AZ 85008-4544
Phone 623-283-4830
Mailing address
4717 E Mcdowell RdPhoenix, AZ 85008-4544
Phone 623-283-4830
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