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Organization
AUTISM LEARNING COLLABORATIVE LLC
Active
Organization
AUTISM LEARNING COLLABORATIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GELENE ROSE MACALINO CBCS,PESC (CONTRACT AND CREDENTIALING MANAGER)
(916) 280-3936
Entity
Organization
Contact information
Practice address
8300 JEFFERSON ST NE STE B, ALBUQUERQUE, NM 87113-1734
(531) 272-2412
(531) 777-7579
Mailing address
8300 JEFFERSON ST NE STE B, ALBUQUERQUE, NM 87113-1734
(844) 743-6506
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/05/2020
Last updated
08/13/2024
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