Individual
KOFI BOATENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2305 RENARD PL SE, ALBUQUERQUE, NM 87106-4258
(505) 230-3790
Mailing address
1801 GIBSON BLVD SE APT 1014, ALBUQUERQUE, NM 87106-3349
(505) 677-6749
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NM
Other
Enumeration date
12/23/2025
Last updated
12/23/2025
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