MEDICARE: ADAM LEE DUNN

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1346963683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM LEE DUNN

Provider Business Mailing Address
First Line	:	312 N ALMA SCHOOL RD STE 11
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85224-4354
Country	:	US
Telephone Number	:	623-300-5477
Fax Number	:

Provider Business Practice Location Address
First Line	:	2306 E PORTLAND ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85006-3153
Country	:	US
Telephone Number	:	480-252-1372
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2022
Last Update Date	:	09/21/2022

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Directions to “ ADAM LEE DUNN ” Practice Location

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