Individual
AMAAL BAHRAQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 BROADWAY BLVD NE, 707 BROADWAY NE, ALBUQUERQUE, NM 87102-2360
(505) 345-8471
Mailing address
707 BROADWAY BLVD NE, OPEN SKIES HEALTHCARE, ALBUQUERQUE, NM 87102-2360
(505) 345-8471
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NM
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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