Individual
HEATHER SHOOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10508 ASPEN AVE NE, ALBUQUERQUE, NM 87112-4205
(505) 453-7456
Mailing address
10508 ASPEN AVE NE, ALBUQUERQUE, NM 87112-4205
(505) 453-7456
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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