Cristian Lizeth Prudencio
Behavior Technician in Goodyear, AZ. Individual provider (NPI-1).
NPI number1639769698
StatusActive
Last updated in NPPESJan 24, 2021
Details
- NPI
- 1639769698
- Entity type
- Individual (NPI-1)
- Name
- Cristian Lizeth Prudencio
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 24, 2021
- Certification date
- Jan 24, 2021
- Last updated
- Jan 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | D06869068 | AZ | Yes |
Practice location
13481 W McDowell Rd # 400Goodyear, AZ 85395-2720
Phone 623-471-5586
Mailing address
21600 Oxnard St Ste 1800Woodland Hills, CA 91367-7807
Phone 818-345-2345
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All 82 Behavior Technician providers in Goodyear · All 2,263 providers in Goodyear
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