Individual
PAUL MARK JARANTILLA HANSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5504 BAER PL NW, ALBUQUERQUE, NM 87120-3333
(701) 441-4071
Mailing address
5504 BAER PL NW, ALBUQUERQUE, NM 87120-3333
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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