Individual
MEMORIA ENCEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1920 PRINCESS JEANNE DR, LAS CRUCES, NM 88001-4156
(575) 644-5906
Mailing address
2550 S TELSHOR BLVD, LAS CRUCES, NM 88011-4907
(575) 235-7447
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/01/2019
Last updated
04/20/2026
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