Individual
IVEY MICHELLE BARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
408 SANTA FE DR, ALAMOGORDO, NM 88310-6000
(719) 493-7086
Mailing address
408 SANTA FE DR, ALAMOGORDO, NM 88310-6000
(719) 493-7086
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NM
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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