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Organization
BEHAVIOR ANALYSIS SERVICES, INC.
Active
Organization
BEHAVIOR ANALYSIS SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA A WEIGAND PHD, BCBA (PRESIDENT)
(505) 603-5245
Entity
Organization
Contact information
Practice address
14 RAVEN RIDGE ROAD, PECOS, NM 87552
(505) 603-5245
(888) 643-9503
Mailing address
PO BOX 603, GLORIETA, NM 87535-0603
(505) 603-5245
(888) 643-9503
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-00-0212
BOARD CERTIFIED BEHAVIOR ANALYST
NM
Enumeration date
09/26/2018
Last updated
09/26/2018
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