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NPI Code Detail

MEDICARE: JOANNE LYNNE NEZ

MEDICARE:   JOANNE LYNNE NEZ
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1679259998
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNE LYNNE NEZ
Provider Business Mailing Address
First Line : 4535 S LAKESHORE DR
Second Line :
City : TEMPE
State : AZ
Zip : 85282-8340
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4535 S LAKESHORE DR
Second Line :
City : TEMPE
State : AZ
Zip : 85282-8340
Country : US
Telephone Number : 602-899-1519
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2023
Last Update Date : 06/22/2023

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Directions to “ JOANNE LYNNE NEZ ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.