Individual
IRIS J MEDRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3621 MARION LN, LAS CRUCES, NM 88012-7579
(575) 520-6074
(505) 929-6200
Mailing address
3621 MARION LN, LAS CRUCES, NM 88012-7579
(575) 520-6074
(575) 652-4104
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/01/2016
Last updated
04/06/2026
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