Individual
JESS MANUEL MUNGARAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
120 WYATT DR, LAS CRUCES, NM 88005-2925
(575) 652-3155
(575) 652-4104
Mailing address
301 PERKINS DR STE B, LAS CRUCES, NM 88005-3248
(575) 652-3155
(575) 652-4104
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/25/2015
Last updated
11/09/2016
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