Individual
ANTHONY LISIGNOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3322 SANTA CLARA AVE SE, ALBUQUERQUE, NM 87106-1531
(505) 681-1183
Mailing address
3322 SANTA CLARA AVE SE, ALBUQUERQUE, NM 87106-1531
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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