Balderrama, Aketzali

Balderrama, Aketzali is an individual health care provider with primary practice located at 10150 W Desert River Blvd Ste 160 , Glendale AZ 85307-3010. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Balderrama, Aketzali can be contacted via phone (623) 693-2954.

Contact Information

Primary practice address
10150 W Desert River Blvd Ste 160 Glendale AZ 85307-3010
Phone: (623) 693-2954
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-18-60729 Arizona
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X BEH-000664 Arizona

Profile Details

NPI number 1356828909
LBN Legal business name Balderrama, Aketzali
Credentials BCBA, LBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2018
Last updated Mar 15th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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