Andraya Kooistra
Andraya Kooistra is a Behavior Technician in Phoenix, Arizona. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
4530 E Muirwood Dr Ste 103Phoenix, AZ 85048-7693
Phone: (480) 610-6981
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1285223891 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 18, 2021 |
| Last updated in NPPES | April 12, 2021 |
| Certification date | April 12, 2021 |
| Mailing address | 12727 W Glendale Ave Lot 152, Glendale, AZ 85307-2432 |
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