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1407625502
GUY MERRICK MICKENS
TEMPE, AZ
NPI
1407625502
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: AZ BEH-001334)
Enumeration Date
2023-12-29
Last Update Date
2024-07-12
Business Address
GUY MERRICK MICKENS MS, BCBA, LBA
8915 S HARL AVE
TEMPE, AZ 85284-1030
Phone number: 480-672-0536
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Mailing Address
GUY MERRICK MICKENS MS, BCBA, LBA
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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