Individual
KYRA WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
48 GREENFIELD RD APT 2, ALAMOGORDO, NM 88310-9108
(575) 430-6631
Mailing address
48 GREENFIELD RD APT 2, ALAMOGORDO, NM 88310-9108
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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