Healthcare Provider Details

I. General information

NPI: 1902749997
Provider Name (Legal Business Name): JOIELLE LARINNE SHEARS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

665 N GILBERT RD STE 152
GILBERT AZ
85234-3395
US

IV. Provider business mailing address

2292 N IRONWOOD DR LOT 103
APACHE JUNCTION AZ
85120-1567
US

V. Phone/Fax

Practice location:
  • Phone: 480-977-1093
  • Fax:
Mailing address:
  • Phone: 208-710-0863
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: