Individual
MICHAEL PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPSW
Contact information
Practice address
51 BOSQUE RD, ALGODONES, NM 87001-8014
(505) 639-9928
Mailing address
127 HAGON RD, SAN FELIPE PB, NM 87001-8087
(505) 867-3381
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/23/2016
Last updated
11/23/2016
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