Individual
KRISTA ANNE-SHOCKLEY HESEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 MARQUETTE AVE NW STE 1200, ALBUQUERQUE, NM 87102-5312
(855) 832-6727
Mailing address
500 MARQUETTE AVE NW STE 1200, ALBUQUERQUE, NM 87102-5312
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-181902
SC
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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