Individual
SEVASTIAN VILLASENOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2408 CALLE LOMA BONITA, SANTA FE, NM 87507-5384
(505) 690-4117
Mailing address
2408 CALLE LOMA BONITA, SANTA FE, NM 87507-5384
(505) 690-4117
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/11/2026
Last updated
02/11/2026
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