Individual
MARIAH ANGELICA MAES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 3931, LAGUNA, NM 87026-3931
(505) 290-8294
Mailing address
PO BOX 3931, LAGUNA, NM 87026-3931
(505) 290-8294
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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