Individual
JANNA DORREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 CENTRAL AVE STE 102, LOS ALAMOS, NM 87544-3218
(505) 551-1241
Mailing address
PO BOX 323, VELARDE, NM 87582-0323
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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