Individual
LAUREN AGOSTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 MESA ST SE, ALBUQUERQUE, NM 87106-4040
(505) 235-9422
Mailing address
113 MESA ST SE, ALBUQUERQUE, NM 87106-4040
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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