Individual
MICHAELA SEDILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1908 UTAH ST NE, ALBUQUERQUE, NM 87110-4844
(505) 385-1019
Mailing address
1908 UTAH ST NE, ALBUQUERQUE, NM 87110-4844
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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