Fight4life Incorporated

NPI #1063050177 in Phoenix, Arizona

Provider Information

NPI Number: 1063050177
Entity Type: Organization
Organization Name: Fight4life Incorporated
Primary Specialty: Behavior Technician
Enumeration Date: Dec 19, 2019
Last Updated: Dec 19, 2019

Practice Location

Address: 4411 S 40TH ST
City: Phoenix
State: Arizona
ZIP Code: 85040-2950
Phone: (480) 744-3166

Authorized Official

Name: QAADIR'NAQIB MUHAMMAD SR.
Title: MANAGER
Phone: (520) 252-7159

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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