Individual
PAOLA GUTIERREZ-BACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 IRVING BLVD NW UNIT 1803, ALBUQUERQUE, NM 87114-3859
(806) 544-1942
Mailing address
4801 IRVING BLVD NW UNIT 1803, ALBUQUERQUE, NM 87114-3859
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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