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Darrell Gautt

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

NPI number1649129487
StatusActive
Last updated in NPPESJan 26, 2026

Details

NPI
1649129487
Entity type
Individual (NPI-1)
Name
Darrell Gautt
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 26, 2026
Certification date
Jan 25, 2026
Last updated
Jan 26, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–AZYes

Practice location

9421 E Main St
Mesa, AZ 85207-8822

Phone 480-630-6759

Mailing address

9421 E Main St
Mesa, AZ 85207-8822

Phone 480-630-6759

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