Individual
MATEO MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3311 CANDELARIA RD NE STE 3311A, ALBUQUERQUE, NM 87107-1959
(855) 295-3276
Mailing address
1333 S MAYFLOWER AVE STE 220, MONROVIA, CA 91016-5239
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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