Individual
SHERLYN BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
1817 WELLSPRING AVE SE STE D, RIO RANCHO, NM 87124-4956
(505) 828-3837
(877) 828-1550
Mailing address
8500 WASHINGTON ST NE, STE A1, ALBUQUERQUE, NM 87113-1846
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33057
NM
Other
Enumeration date
10/01/2015
Last updated
12/26/2018
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