Individual
RICCI DEAN MOLINA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
243 COOK AVE, RATON, NM 87740-3930
(580) 319-5770
(580) 319-7086
Mailing address
PO BOX 196, MAXWELL, NM 87728-0196
(575) 621-0098
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-421568
NM
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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