Most Relevant Information
Provider Data
| NPI Number: | 1003573916 |
| Provider Name: | KANDACE WADLINGTON |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/27/2021 |
| Last Updated: | 11/27/2021 |
Provider Practice Location
4050 E GREENWAY RD STE 4
PHOENIX
AZ
850324700
Practice Location Phone/Fax
| Phone: | 6239007598 |
| Fax: |
Provider Mailing Location
4050 E GREENWAY RD STE 4
PHOENIX
AZ
850324700
Provider Mailing Phone/Fax
| Phone: | 6239007598 |
| Fax: |