Individual
ROLANDA MAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3876 HAWKINS ST NE, ALBUQUERQUE, NM 87109-4539
(505) 301-3591
Mailing address
9527 LYNDALE LN NW, ALBUQUERQUE, NM 87114-5962
(505) 301-3591
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/21/2017
Last updated
04/30/2019
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