Organization
JUMPSTART, LLC
Active
Parent organization
JUMPSTART, LLC
Other names
JumpStart Autism Screening and Evaluations, JumpStart Autism Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
JUMPSTART, LLC
Authorized official
BRIAN LOPEZ PHD (MANAGING MEMBER)
(505) 828-3837
Entity
Organization
Contact information
Practice address
8500 WASHINGTON ST NE STE A1, ALBUQUERQUE, NM 87113-1861
(505) 828-3837
(877) 828-1550
Mailing address
8100 M4 WYOMING NE #406, ALBUQUERQUE, NM 87113-6615
(505) 828-3837
(877) 182-8550
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
0877
NM
Other
Enumeration date
02/13/2008
Last updated
08/22/2024
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