Individual
AIRTH MCCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
412 CAMINO DON TOMAS, BERNALILLO, NM 87004-9101
(505) 867-3396
Mailing address
PO BOX 788, BERNALILLO, NM 87004-0788
(505) 387-9447
(505) 867-3398
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-54709
NM
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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