Healthcare Provider Details

I. General information

NPI: 1679232664
Provider Name (Legal Business Name): SYDNEY ANN MICHELLE HOOKS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2021
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 S COUNTRY CLUB DR STE 38
MESA AZ
85210-6886
US

IV. Provider business mailing address

45074 W SAGE BRUSH DR
MARICOPA AZ
85139-9206
US

V. Phone/Fax

Practice location:
  • Phone: 619-385-9377
  • Fax:
Mailing address:
  • Phone: 602-422-0805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: