Individual
MARISA FOLSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5411 JEFFERSON ST NE STE 100, ALBUQUERQUE, NM 87109-3485
(505) 225-3466
Mailing address
10511 GOLF COURSE RD NW STE 103, ALBUQUERQUE, NM 87114-5917
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-58783
NM
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/06/2018
Last updated
10/25/2025
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