Individual
MARIAH RAINE BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
821 COUNTRY CLUB DR SE, #1C, RIO RANCHO, NM 87124-2297
(505) 269-0861
Mailing address
821 COUNTRY CLUB DR SE, #1C, RIO RANCHO, NM 87124-2297
(505) 269-0861
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NM
Other
Enumeration date
11/25/2016
Last updated
11/25/2016
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