Prudencio, Cristian Lizeth

Prudencio, Cristian Lizeth is an individual health care provider with primary practice located at 13481 W Mcdowell Rd # 400 , Goodyear AZ 85395-2720. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Prudencio, Cristian Lizeth can be contacted via phone (623) 471-5586.

Contact Information

Primary practice address
13481 W Mcdowell Rd # 400 Goodyear AZ 85395-2720
Phone: (623) 471-5586
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X D06869068 Arizona

Profile Details

NPI number 1639769698
LBN Legal business name Prudencio, Cristian Lizeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2021
Last updated Jan 24th, 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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