Organization
AUTISM LEARNING COLLABORATIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GELENE ROSE MACALINO CBCS,PESC (CONTRACT AND CREDENTIALING MANAGER)
(916) 280-3936
Entity
Organization
Contact information
Practice address
8300 JEFFERSON ST NE STE B, ALBUQUERQUE, NM 87113-1734
(531) 272-2412
(531) 777-7579
Mailing address
8300 JEFFERSON ST NE STE B, ALBUQUERQUE, NM 87113-1734
(844) 743-6506
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/05/2020
Last updated
08/13/2024
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