Individual
NELSON MICHAEL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
913 VALENCIA DR NE, ALBUQUERQUE, NM 87108-1753
(505) 604-2085
Mailing address
913 VALENCIA DR NE, ALBUQUERQUE, NM 87108-1753
(505) 604-2085
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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