Individual
MISS AMBER SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 HILLRISE CIR, LAS CRUCES, NM 88011-4741
(575) 288-1881
(575) 288-1889
Mailing address
3807 CHASING FALLS RD, ORANGE PARK, FL 32065-3570
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-54387
NM
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
01/17/2014
Last updated
08/19/2025
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