Individual
MARY LIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6100 SEAGULL ST NE, SUITE B200, ALBUQUERQUE, NM 87109-2500
(248) 912-1344
Mailing address
6100 SEAGULL ST NE, SUITE B200, ALBUQUERQUE, NM 87109-2500
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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