GUY MERRICK MICKENS

PHOENIX, AZ
NPI1407625502
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103K00000X Behavior Analyst
(Licence: AZ  BEH-001334)
Enumeration Date2023-12-29
Last Update Date2023-12-29
Business Address
GUY MERRICK MICKENS BCBA, LBA
300 N 18TH ST
PHOENIX, AZ 85006-4103
Phone number: 602-340-8717
Mailing Address
GUY MERRICK MICKENS BCBA, LBA
2225 N 16TH ST
PHOENIX, AZ 85006-1823
Phone number: 602-340-8717