Most Relevant Information
Provider Data
| NPI Number: | 1003274622 |
| Provider Name: | LIONEL DANIEL RBT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/10/2016 |
| Last Updated: | 08/09/2024 |
Provider Practice Location
4340 E INDIAN SCHOOL RD STE 21-246
PHOENIX
AZ
850185392
Practice Location Phone/Fax
| Phone: | 4803357115 |
| Fax: |
Provider Mailing Location
4340 E INDIAN SCHOOL RD STE 21-246
PHOENIX
AZ
850185392
Provider Mailing Phone/Fax
| Phone: | 4803357115 |
| Fax: |