Individual
KATELYNN NICOLE NEMITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
713 CAGUA DR SE, ALBUQUERQUE, NM 87108-3717
(505) 553-3161
Mailing address
713 CAGUA DR SE, ALBUQUERQUE, NM 87108-3717
(505) 553-3161
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
N/A
—
Enumeration date
09/16/2022
Last updated
09/16/2022
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