Individual
ANDRYIA HOLLI BANISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1309 FLORIDA ST NE, ALBUQUERQUE, NM 87110-6803
(575) 291-8919
Mailing address
1309 FLORIDA ST NE, ALBUQUERQUE, NM 87110-6803
(575) 291-8919
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/22/2026
Last updated
05/22/2026
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