Individual
DANIEL MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 RIO GRANDE BLVD NW STE F146, ALBUQUERQUE, NM 87104-2055
(505) 302-5383
(505) 295-4189
Mailing address
901 RIO GRANDE BLVD NW STE F146, ALBUQUERQUE, NM 87104-2055
(505) 302-5383
(505) 295-4189
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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