Individual
MCKENNAH SHURTLEFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6813 PROMENADE AVE NE, ALBUQUERQUE, NM 87109-2824
(505) 545-0186
Mailing address
6813 PROMENADE AVE NE, ALBUQUERQUE, NM 87109-2824
(505) 545-0186
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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