Individual
SANDRA BENITEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13 BOSQUE PL, LOS LUNAS, NM 87031-9412
(505) 270-8557
Mailing address
13 BOSQUE PL, LOS LUNAS, NM 87031-9412
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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