Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASA DEFAZIO, COTA/L
ActiveNeurodevelopmental Disabilities · CHANDLER, AZ
Registration Details
- NPI Number
- 1740766567
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 15, 2018 (7.7704873400208 yrs)
- Last Updated
- Jul 15, 2018
- License
-
OTA-046588 (AZ)
Practice Information
- Address
-
2175 N ALMA SCHOOL RD STE A106CHANDLER, AZ, 852242882Browse AZ providers · Browse ZIP 85224
- Phone
- 4808550474
- Primary Specialty
-
Neurodevelopmental Disabilities
2080P0008X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.