Individual
LAUREN BUCKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 TRINITY DR APT 90, LOS ALAMOS, NM 87544-2336
(505) 412-0809
Mailing address
3000 TRINITY DR APT 90, LOS ALAMOS, NM 87544-2336
(505) 412-0809
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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