Search › Arizona › Behavior Technician
Closel Defonse
NPI 1073136719 · on the registry since 2020
Practice
- Address
- 7812 W Wood Ln
Phoenix, AZ 85043 - Phone
- (310) 956-7616
- Organisation at this address
- Defonse Family Restoration Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Behavior Technician
106S00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-05-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona