Individual
MICHALENE QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 PALMILLA RD NW, LOS LUNAS, NM 87031-4864
(505) 295-2707
Mailing address
2600 PALMILLA RD NW, LOS LUNAS, NM 87031-4864
(505) 295-2707
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-62857
NM
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/20/2020
Last updated
01/13/2023
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