Individual
BADI BRIGOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
46 E OLD AGUA FRIA RD, SANTA FE, NM 87508-5969
(505) 930-4027
Mailing address
46 E OLD AGUA FRIA RD, SANTA FE, NM 87508-5969
(505) 930-4027
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/12/2016
Last updated
10/28/2016
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