Individual
LAUREN NUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9019 WASHINGTON ST NE STE A, ALBUQUERQUE, NM 87113-2435
(505) 856-6880
Mailing address
600 CENTRAL AVE SW UNIT 3E, ALBUQUERQUE, NM 87102-3195
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/14/2020
Last updated
07/09/2020
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