Individual
EZRAN ROBLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
345 56TH ST NW, ALBUQUERQUE, NM 87105-1930
(575) 219-0257
Mailing address
345 56TH ST NW, ALBUQUERQUE, NM 87105-1930
(575) 219-0257
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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