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Organization

BEHAVIOR CHANGE INSTITUTE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAGDALENA SAENZ (BEHAVIOR TECHNISIAN)
(575) 313-5177
Entity
Organization

Contact information

Practice address
440 W MANANA BLVD, CLOVIS, NM 88101-4209
(575) 313-5177
Mailing address
440 W MANANA BLVD, CLOVIS, NM 88101-4209
(575) 313-5177

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
505382269
NM

Other

Enumeration date
01/23/2017
Last updated
01/23/2017
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