Individual
MR. ADRIAN CARL EATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSR CLASSROOM INST.
Contact information
Practice address
1001 W BROADWAY STE D&E, FARMINGTON, NM 87401-5638
(505) 327-4796
Mailing address
2800 N DUSTIN AVE APT 327, FARMINGTON, NM 87401-2143
(505) 386-9026
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NM
Other
Enumeration date
04/12/2022
Last updated
11/16/2022
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