Individual
KRISTEN NICOLE SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 4TH ST NW STE 102, ALBUQUERQUE, NM 87102-2104
(505) 356-7650
Mailing address
841 HOUSTON AVE, GRANTS, NM 87020-3016
(505) 240-7466
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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