Individual
JAMIE MELISSA KISTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
2305 RENARD PL SE STE 110, ALBUQUERQUE, NM 87106-4258
(505) 637-1992
Mailing address
2305 RENARD PL SE STE 110, ALBUQUERQUE, NM 87106-4258
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/04/2025
Last updated
05/06/2026
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