Individual
BASIA A STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4601 MONTANO RD NW APT 49, ALBUQUERQUE, NM 87120-2460
(541) 246-0159
Mailing address
4601 MONTANO RD NW APT 49, ALBUQUERQUE, NM 87120-2460
(541) 246-0159
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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