Individual
ELIZABETH PAIGE UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11611 ANAHEIM AVE NE, ALBUQUERQUE, NM 87122-1520
(505) 550-6746
Mailing address
1218 GRIEGOS RD NW, ALBUQUERQUE, NM 87107-3752
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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