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
1740 GRANDE BLVD SE STE E-13, ALBUQUERQUE, NM 87124-1799
(505) 492-5964
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-58783
NM
104100000X
Social Worker
SWB-2026-0638
NM
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/06/2018
Last updated
06/05/2026
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