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Organization

SANDIA CREST AUTISM SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SANDRA EMANUEL LCSW (CHIEF EXECUTIVE OFFICER/OWNER)
(575) 644-3860
Entity
Organization

Contact information

Practice address
1801 RANDOLPH RD SE, ALBUQUERQUE, NM 87106-4230
(575) 644-3860
Mailing address
1801 RANDOLPH RD SE, ALBUQUERQUE, NM 87106-4230
(575) 644-3860

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
12/22/2025
Last updated
12/22/2025
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