Healthcare Provider Details

I. General information

NPI: 1780597880
Provider Name (Legal Business Name): JANELLE TOWNES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANELLE WELLS

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13203 N 103RD AVE STE C3
SUN CITY AZ
85351-3099
US

IV. Provider business mailing address

17701 W BELL RD UNIT 1165
SURPRISE AZ
85374-3079
US

V. Phone/Fax

Practice location:
  • Phone: 602-887-0603
  • Fax:
Mailing address:
  • Phone: 602-887-0603
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-2854466
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: