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Susan Avila

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

NPI number1306166103
StatusActive
Last updated in NPPESOct 27, 2024

Details

NPI
1306166103
Entity type
Individual (NPI-1)
Name
Susan Avila
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 3, 2010
Certification date
Oct 27, 2024
Last updated
Oct 27, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes
171M00000X Case Manager/Care Coordinator––

Practice location

791 S 4th Ave
Yuma, AZ 85364-3067

Phone 928-920-6220

Mailing address

799 W 10th St
Yuma, AZ 85364-3750

Phone 928-450-0554

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