Individual
MARIELA DANAE ACEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10306 CORNELIA CT SW, ALBUQUERQUE, NM 87121-8025
(505) 280-7312
Mailing address
10306 CORNELIA CT SW, ALBUQUERQUE, NM 87121-8025
(505) 280-7312
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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