Individual
SANTANA FLINT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4 WHITNEY CT, CEDAR CREST, NM 87008-9706
(608) 622-2082
Mailing address
4 WHITNEY CT, CEDAR CREST, NM 87008-9706
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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