Lavontis Neal
Behavior Technician in Tempe, AZ. Individual provider (NPI-1).
NPI number1831973643
StatusActive
Last updated in NPPESAug 22, 2023
Details
- NPI
- 1831973643
- Entity type
- Individual (NPI-1)
- Name
- Lavontis Neal
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 22, 2023
- Certification date
- Aug 22, 2023
- Last updated
- Aug 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
4515 S McClintock DrTempe, AZ 85282-7376
Phone 725-277-5433
Mailing address
4515 S McClintock DrTempe, AZ 85282-7376
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