Individual
RAMIYAH COCKRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 NOBLE LN, CORRALES, NM 87048-7704
(505) 492-5891
Mailing address
PO BOX 66375, ALBUQUERQUE, NM 87193-6375
(505) 492-5891
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-230091
NM
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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