Jalan T Brimhall
Behavior Technician in Phoenix, AZ. Individual provider (NPI-1).
NPI number1801360409
StatusActive
Last updated in NPPESJan 16, 2019
Details
- NPI
- 1801360409
- Entity type
- Individual (NPI-1)
- Name
- Jalan T Brimhall
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 16, 2019
- Last updated
- Jan 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-19-75773 | AZ | Yes |
Practice location
20860 N Tatum BlvdPhoenix, AZ 85050-4274
Phone 866-342-8847
Mailing address
128 N WilburMesa, AZ 85201-6736
Phone 928-457-7481
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