Healthcare Provider Details

I. General information

NPI: 1124959382
Provider Name (Legal Business Name): MS. ANYIER DENG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8933 W HESS ST
TOLLESON AZ
85353-6964
US

IV. Provider business mailing address

8933 W HESS ST
TOLLESON AZ
85353-6964
US

V. Phone/Fax

Practice location:
  • Phone: 480-430-9014
  • Fax: 602-266-4912
Mailing address:
  • Phone: 480-430-9014
  • Fax: 602-266-4912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberADBH20016
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: