Individual
SHARON PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13500 SKYLINE RD NE APT 225, ALBUQUERQUE, NM 87123-1162
(937) 947-8185
Mailing address
13500 SKYLINE RD NE APT 225, ALBUQUERQUE, NM 87123-1162
(937) 947-8185
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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