Organization
JUMPSTART, LLC
Active
Parent organization
JUMPSTART, LLC
Other names
JumpStart Autism Screening and Evaluations
Organization subpart
Yes
Provider details
NPI number
Legal business name
JUMPSTART, LLC
Authorized official
BRIAN LOPEZ PHD (MANAGING MEMBER)
(505) 828-3837
Entity
Organization
Contact information
Practice address
8500 WASHINGTON ST NE STE A1, ALBUQUERQUE, NM 87113-1861
(505) 633-8500
Mailing address
8100 WYOMING BLVD NE M-4 ,#406, ALBUQUERQUE, NM 87113
(505) 828-3837
(877) 828-1550
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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