Individual
MRS. AUBREY ROSE COURTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
921 S BOULDER AVE, PORTALES, NM 88130-6523
(575) 749-6285
Mailing address
921 S BOULDER AVE, PORTALES, NM 88130-6523
(575) 749-6285
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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