Individual
HALLIE CHANCELLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 GIBSON BLVD SE APT 1046, ALBUQUERQUE, NM 87106
(805) 304-1063
Mailing address
1801 GIBSON BLVD SE APT 1046, ALBUQUERQUE, NM 87106-3352
(805) 304-1063
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/15/2017
Last updated
07/21/2022
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