Organization
PRISMTHERAPEUTIC SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA MONTOYA MS, CCC, SLP/ BCBA (OWNER)
(505) 681-7000
Entity
Organization
Contact information
Practice address
2200 GUN CLUB RD SW, ALBUQUERQUE, NM 87105-6415
(505) 681-7000
Mailing address
2200 GUN CLUB RD SW, ALBUQUERQUE, NM 87105-6415
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
235Z00000X
Speech-Language Pathologist
4368
NM
Other
Enumeration date
02/11/2016
Last updated
04/12/2016
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