Individual
MARICELA R AVALOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 FARMERS POND RD, SANTA FE, NM 87507
(505) 310-2885
Mailing address
8 FARMERS POND RD, SANTA FE, NM 87507
(505) 310-2885
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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