Individual
MINISA ANAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2406 FOOTHILL DR SW, ALBUQUERQUE, NM 87105-4457
(505) 563-0959
Mailing address
2406 FOOTHILL DR SW, ALBUQUERQUE, NM 87105-4457
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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