Clarissa Brooke Dewese
Behavior Technician in Glendale, AZ. Individual provider (NPI-1).
NPI number1699463570
StatusActive
Last updated in NPPESMay 23, 2023
Details
- NPI
- 1699463570
- Entity type
- Individual (NPI-1)
- Name
- Clarissa Brooke Dewese
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 27, 2023
- Certification date
- May 23, 2023
- Last updated
- May 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
4480 W Peoria Ave Ste 201Glendale, AZ 85302-2039
Phone 702-743-4108
Mailing address
4480 W Peoria Ave Ste 201Glendale, AZ 85302-2039
Phone 602-400-0231
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All 560 Behavior Technician providers in Glendale · All 7,642 providers in Glendale
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