Ann Noelle Balog, RBT

NPI #1083495667 in Litchfield Park, Arizona

Provider Information

NPI Number: 1083495667
Entity Type: Individual
Name: Ann Noelle Balog, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Oct 10, 2023
Last Updated: Oct 10, 2023

Practice Location

Address: 5220 N DYSART RD BLDG C
City: Litchfield Park
State: Arizona
ZIP Code: 85340-3045
Phone: (623) 244-9179

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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