Individual
DUSTIN DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3550 OLD AIRPORT RD NW APT 2304, ALBUQUERQUE, NM 87114-9288
(505) 908-6611
Mailing address
3550 OLD AIRPORT RD NW APT 2304, ALBUQUERQUE, NM 87114-9288
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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