Individual
MERIDIAN COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10816 FAIRBANKS RD NE, ALBUQUERQUE, NM 87112-1623
(505) 228-9889
Mailing address
10816 FAIRBANKS RD NE, ALBUQUERQUE, NM 87112-1623
(505) 228-9889
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NM
Other
Enumeration date
06/11/2014
Last updated
01/11/2019
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