Individual
JO A MAXEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
228 ALCAZAR ST NE, ALBUQUERQUE, NM 87108-2006
(402) 658-2374
Mailing address
228 ALCAZAR ST NE, ALBUQUERQUE, NM 87108-2006
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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