Individual
ANNE MARIE TEREASE BOURBEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2055 S PACHECO ST STE 500, SANTA FE, NM 87505-3994
(505) 702-8112
Mailing address
901 RIO GRANDE BLVD NW STE G252, ALBUQUERQUE, NM 87104-2050
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/02/2022
Last updated
03/28/2024
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