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Kellie L Cardoza, BHT
Day Training/Habilitation Specialist in Glendale, Arizona
NPI 1669072161

Kellie L Cardoza is a Day Training/Habilitation Specialist based in Glendale, AZ. Kellie L Cardoza practices in Glendale, AZ and has the professional credentials of BHT. The NPI Number for Kellie L Cardoza is 1669072161 and holds a License No. (Arizona).

The current practice location address for Kellie L Cardoza is 6148 W Frier Dr, Glendale, AZ and can be reached out via phone at 315-955-0170.

Location: 6148 W Frier Dr, Glendale, AZ, 85301-1223
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669072161
Provider Name
Kellie L Cardoza
Credential
BHT
Provider Entity Type
Individual
Gender
Female
Address
6148 W Frier Dr, Glendale, AZ, 85301-1223
Phone Number
315-955-0170
Fax Number
Provider Enumeration Date
10/26/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7777777 05 AZ
institution
Provider Business Practice Location Address Details
Address
6148 W Frier Dr
City
Glendale
State
Arizona
Zip
85301-1223
Phone Number
315-955-0170
Fax Number
person
Provider Business Mailing Address Details
Address
6148 W Frier Dr
City
Glendale
State
Arizona
Zip
85301-1223
Phone Number
315-955-0170
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Day Training/Habilitation Specialist
Speciality
-
Taxonomy
373H00000X
License No.
()
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
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