Individual provider · NPI-1

Mark Kirkander

Case Manager/Care Coordinator · Glendale, AZ

NPI number1932855855
StatusActive
Last updated in NPPESSep 23, 2026

Details

NPI
1932855855
Entity type
Individual (NPI-1)
Name
Mark Kirkander
Sex
Male
Sole proprietor
No
Enumeration date
Mar 1, 2022
Certification date
Sep 23, 2026
Last updated
Sep 23, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes
106S00000X Behavior Technician––

Practice location

17235 N 75th Ave
Suite G-120
Glendale, AZ 85308-0831

Phone 303-989-8169

Mailing address

17235 N 75th Ave
Suite G-120
Glendale, AZ 85308-0831

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