Individual
FATIMA ALEXANDRA REBOLLEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 OLIVE TERRACE RD, BELEN, NM 87002-9330
(909) 242-9789
Mailing address
10 OLIVE TERRACE RD, BELEN, NM 87002-9330
(909) 242-9789
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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