Individual
OLIVIA GRACE WYRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 UNSER BLVD SE STE A&C, RIO RANCHO, NM 87124-4660
(505) 623-9814
Mailing address
611 11TH AVE NW, RIO RANCHO, NM 87144-4024
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/01/2026
Last updated
04/01/2026
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