Individual
ASHLEY CHAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
54 LAURIANO DR, BERNALILLO, NM 87004-8010
(505) 610-0729
Mailing address
54 LAURIANO DR, BERNALILLO, NM 87004-8010
(505) 610-0729
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3557384322
—
NM
Enumeration date
01/23/2018
Last updated
01/23/2018
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