NPI 1003414608

Anna Kondaurov

Practitioner Behavior Technician Peoria, AZ

Practice location

Address: 21505 N 78th Ave Suite 125, Peoria, AZ 85382-3356
Phone: (303) 989-8169

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1003414608
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Oct 2020
Record last updated: 15 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.