Individual
SHAWNA SPURLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1420 CARLISLE BLVD NE STE 100, ALBUQUERQUE, NM 87110-5662
(818) 241-6780
(800) 819-7806
Mailing address
PO BOX 767938, ROSWELL, GA 30076-7938
(818) 241-6780
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NM
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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