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Mediatrice Ishimwe

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

NPI number1982502449
StatusActive
Last updated in NPPESOct 27, 2026

Details

NPI
1982502449
Entity type
Individual (NPI-1)
Name
Mediatrice Ishimwe
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 27, 2026
Certification date
Oct 27, 2026
Last updated
Oct 27, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

10442 W Cordes Rd
Tolleson, AZ 85353-8763

Phone 602-580-3558

Mailing address

10442 W Cordes Rd
Tolleson, AZ 85353-8763

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