Closel Defonse
Closel Defonse is a Behavior Technician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2020.
- Licensed in
- AZ
- In the registry since
- 2020
Practice location Address checks out
7812 W Wood LnPhoenix, AZ 85043-1426
Phone: (310) 956-7616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (AZ) |
|---|
Record details
| NPI number | 1073136719 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 28, 2020 |
| Last updated in NPPES | May 28, 2020 |
| Certification date | May 28, 2020 |
| Mailing address | 7812 W Wood Ln, Phoenix, AZ 85043-1426 |
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