Individual
ANTHONY LISIGNOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 BERTHA RD STE B, TAOS, NM 87571-7148
(575) 758-4297
Mailing address
3322 SANTA CLARA AVE SE, ALBUQUERQUE, NM 87106-1531
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NM
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/02/2021
Last updated
06/19/2026
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