Organization
BALANCE SPEECH AND BEHAVIOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISA SANTACROCE (OWNER)
(505) 319-3113
Entity
Organization
Contact information
Practice address
2700 VISTA GRANDE DR NW UNIT 32, ALBUQUERQUE, NM 87120-1039
(505) 319-3113
Mailing address
2700 VISTA GRANDE DR NW UNIT 32, ALBUQUERQUE, NM 87120-1039
(505) 319-3113
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336384973
—
NM
Enumeration date
02/10/2021
Last updated
02/10/2021
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