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Individual

ISSA BEATRICE T BUSTRIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
303 ROMA AVE NW STE 200, ALBUQUERQUE, NM 87102-2220
(505) 345-8471
Mailing address
303 ROMA AVE NW STE 200, ALBUQUERQUE, NM 87102-2220
(505) 345-8471

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
04/29/2024
Last updated
04/29/2024
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