Individual
KIMBER HIRSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPED, AUTISM
Contact information
Practice address
5386 SANTA TERESITA DR, SANTA TERESA, NM 88008-9204
(915) 731-2785
Mailing address
5386 SANTA TERESITA DR, SANTA TERESA, NM 88008-9204
(915) 731-2785
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/05/2017
Last updated
07/05/2017
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