Individual
MISS LEAH THERESA MONTOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
409 ASHLEY LN, CORRALES, NM 87048-8917
(505) 917-1762
Mailing address
409 ASHLEY LN, CORRALES, NM 87048-8917
(505) 917-1762
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-25540
NM
Other
Enumeration date
03/07/2011
Last updated
05/01/2017
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