Individual
JENINE LUJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BEHAVIOR TECHNICIAN
Contact information
Practice address
500 UNSER BLVD SE, RIO RANCHO, NM 87124-4660
(505) 623-9814
Mailing address
500 UNSER BLVD SE, RIO RANCHO, NM 87124-4660
(505) 623-9814
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123713117
DL
NM
Enumeration date
02/02/2023
Last updated
06/13/2025
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