Individual
DIANE MICHELE BRANNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1180 ALVARADO DR SE APT 102, ALBUQUERQUE, NM 87108-4762
(505) 991-4953
Mailing address
1180 ALVARADO DR SE APT 102, ALBUQUERQUE, NM 87108-4762
(505) 991-4953
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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