Individual
KANDICE WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10124 RANGE RD SW, ALBUQUERQUE, NM 87121-2159
(832) 608-7127
Mailing address
10124 RANGE RD SW, ALBUQUERQUE, NM 87121-2159
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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