Irene Basil Maseveriyo

NPI #1851865570 in Laveen, Arizona

Provider Information

NPI Number: 1851865570
Entity Type: Individual
Name: Irene Basil Maseveriyo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jan 15, 2019
Last Updated: Jan 15, 2019

Practice Location

Address: 4505 W BURGESS LN
City: Laveen
State: Arizona
ZIP Code: 85339-1919
Phone: (331) 803-0822

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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