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Individual

MICHELE IEMOLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D., BCBA, R-DMT

Contact information

Practice address
3415 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110-1648
(505) 420-1814
(505) 420-1814
Mailing address
4228 SADDLEBACK RD NW, ALBUQUERQUE, NM 87114-5665
(505) 304-5584
(505) 212-4412

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-13-12717
FL
103T00000X
Psychologist
Primary
1441
NM

Other

Enumeration date
07/06/2011
Last updated
04/20/2026
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