Individual
AUTUMN ROSETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3003 TRANSPORT ST SE APT 94, ALBUQUERQUE, NM 87106-4307
(505) 720-0935
Mailing address
3003 TRANSPORT ST SE APT 94, ALBUQUERQUE, NM 87106-4307
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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