Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marilia Correa Imdorf

Individual provider Behavior Technician · NPI 1861348625

Marilia Correa Imdorf is a Behavior Technician in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2026

Practice location Address checks out

4170 N 108th Ave
Phoenix, AZ 85037-5469
Phone: (480) 751-1957
Fax: (866) 611-1558
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (AZ)

Record details

NPI number1861348625
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 5, 2026
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026

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