Larissa Van Wie RBT

NPI # 

Practice Address:

15116 N Cotton Ln

Surprise, AZ, 85388-9618

Practice Phone:

623-322-8250

Practice Fax:

602-485-8859

License Number:

RBT-21-150641

License State:

AZ

Taxonomy Grouping:

Behavioral Health & Social Service Providers

Taxonomy Classification:

Behavior Technician

Taxonomy Code:

106S00000X