Individual
MR. EVAN CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2659 PAN AMERICAN FWY NE STE E, ALBUQUERQUE, NM 87107-1648
(505) 255-1100
(866) 848-6905
Mailing address
2410 VENETIAN WAY SW, ALBUQUERQUE, NM 87105-7236
(505) 610-7020
(866) 848-6905
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/11/2020
Last updated
01/11/2020
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