Individual
MICAH DI PAOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10899 MONTGOMERY BLVD NE STE B, ALBUQUERQUE, NM 87111-3935
(505) 544-6330
Mailing address
10899 MONTGOMERY BLVD NE STE B, ALBUQUERQUE, NM 87111-3935
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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