Individual
MARIO THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2301 E 20TH ST, FARMINGTON, NM 87401-8905
(866) 273-2451
Mailing address
1211 8TH ST STE C, ALAMOGORDO, NM 88310-5808
(866) 273-2451
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
10/27/2023
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