Individual
MADAJAH BACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6901 GLENRIO RD NW APT 2316, ALBUQUERQUE, NM 87121-5914
(505) 355-9134
Mailing address
6901 GLENRIO RD NW APT 2316, ALBUQUERQUE, NM 87121-5914
(505) 355-9134
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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