NPI 1083183248

Maral Mariam Emmons

Practitioner Behavior Technician San Tan Valley, AZ

Practice location

Address: 1271 E Desert Springs Way, San Tan Valley, AZ 85143-6167
Phone: (702) 305-1105

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1083183248
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Nov 2018
Record last updated: 17 Nov 2018

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.