Van Wie, Larissa

Van Wie, Larissa is an individual health care provider with primary practice located at 15116 N Cotton Ln , Surprise AZ 85388-9618. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Van Wie, Larissa can be contacted via phone (623) 322-8250.

Contact Information

Primary practice address
15116 N Cotton Ln Surprise AZ 85388-9618
Phone: (623) 322-8250
Fax: (602) 485-8859
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-21-150641 Arizona

Profile Details

NPI number 1487242210
LBN Legal business name Van Wie, Larissa
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2021
Last updated Jul 3rd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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