Individual
MARIAH SIERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
605 ROSEWOOD DR, CLOVIS, NM 88101-9328
(575) 219-0039
Mailing address
605 ROSEWOOD DR, CLOVIS, NM 88101-9328
(575) 219-0039
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-22-48264
NM
106E00000X
Assistant Behavior Analyst
0-17-7735
NM
Other
Enumeration date
09/01/2015
Last updated
08/03/2022
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