Individual
JASON A MOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1809 PROSPECT AVE NW, ALBUQUERQUE, NM 87104-2433
(505) 730-6841
Mailing address
1809 PROSPECT AVE NW, ALBUQUERQUE, NM 87104-2433
(505) 730-6841
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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