Individual
ANGEL KOPACKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5608 LA COLONIA DR NW, ALBUQUERQUE, NM 87120-2498
(505) 463-1470
Mailing address
5608 LA COLONIA DR NW, ALBUQUERQUE, NM 87120-2498
(505) 463-1470
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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