Maryah A Provo
Maryah A Provo is a Behavior Technician in Gilbert, Arizona. Licensed in Arizona. Registered with an NPI since 2024.
- Licensed in
- AZ
- In the registry since
- 2024
Practice location Address checks out
5656 S Power Rd Ste 121Gilbert, AZ 85295-8489
Phone: (602) 610-4633
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence C16158146 (AZ) |
|---|
Record details
| NPI number | 1689412454 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 17, 2024 |
| Last updated in NPPES | July 17, 2024 |
| Certification date | July 17, 2024 |
| Mailing address | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807 |
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