Individual
NICOLE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6801 JEFFERSON ST NE STE 150, ALBUQUERQUE, NM 87109-4379
(505) 605-6572
(505) 944-1927
Mailing address
6801 JEFFERSON ST NE STE 150, ALBUQUERQUE, NM 87109-4379
(505) 605-6572
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-418653
NM
Other
Enumeration date
03/05/2019
Last updated
08/06/2025
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