Individual
ELLIE BROOKE PADILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3406 HERRERA RD NW, ALBUQUERQUE, NM 87105-1663
(505) 450-1640
Mailing address
3406 HERRERA RD NW, ALBUQUERQUE, NM 87105-1663
(505) 450-1640
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/05/2026
Last updated
08/05/2026
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