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Individual

JULIAN ANTHONY MAIETTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
720 15TH ST NW, ALBUQUERQUE, NM 87104-1333
(505) 615-9889
Mailing address
720 15TH ST NW, ALBUQUERQUE, NM 87104-1333
(505) 615-9889

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
05/24/2017
Last updated
05/24/2017
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