Individual
STEPHANIE LENNOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1705 UTAH ST NE, ALBUQUERQUE, NM 87110-6033
(505) 234-5565
Mailing address
1705 UTAH ST NE, ALBUQUERQUE, NM 87110-6033
(505) 234-5565
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/31/2020
Last updated
03/31/2020
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