Individual
ISRAEL JEREMIAH MUNOZ I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
914 N CANAL ST, CARLSBAD, NM 88220-5110
(575) 885-4836
Mailing address
914 N CANAL ST, CARLSBAD, NM 88220-5110
(575) 885-4836
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00050419
—
NM
Enumeration date
04/25/2018
Last updated
04/25/2018
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