Individual
JESSIE RAE LORENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
816 9TH ST, ALAMOGORDO, NM 88310-6416
(575) 495-9911
Mailing address
2301 YALE AVE, ALAMOGORDO, NM 88310-4639
(228) 223-0617
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NM
Other
Enumeration date
08/05/2026
Last updated
08/05/2026
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