Individual
RENEE WALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
214 MORNINGSIDE DR NE, ALBUQUERQUE, NM 87108
(505) 307-8097
Mailing address
P.O. BOX 45292, RIO RANCHO, NM 87174
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/11/2024
Last updated
05/11/2024
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