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NPI Code Detail

MEDICARE: ELIZABETH ANNE WEGLEY MS

MEDICARE:   ELIZABETH ANNE WEGLEY  MS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-25-83571AZ

General Provider Information

NPI Number : 1235706623
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ANNE WEGLEY MS
Provider Business Mailing Address
First Line : 3201 W PEORIA AVE STE B301
Second Line :
City : PHOENIX
State : AZ
Zip : 85029-4618
Country : US
Telephone Number : 818-345-2345
Fax Number :
Provider Business Practice Location Address
First Line : 3201 W PEORIA AVE STE B301
Second Line :
City : PHOENIX
State : AZ
Zip : 85029-4618
Country : US
Telephone Number : 602-291-9375
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2021
Last Update Date : 03/05/2026

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Directions to “ ELIZABETH ANNE WEGLEY MS” Practice Location

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