Individual
LEILA WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9019 WASHINGTON ST NE STE A, ALBUQUERQUE, NM 87113-2435
(505) 856-6880
Mailing address
9324 SILICA AVE NW, ALBUQUERQUE, NM 87120-1094
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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