Individual
CORINE ROSE CANOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 SUMAC ST, WEST HAVEN, CT 06516-5759
(860) 590-6917
Mailing address
277 E AMADOR AVE STE 101, LAS CRUCES, NM 88001-3675
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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