Individual
BRYANNA ROCHELLE LOVATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6407 BLACK HAWK DR NE, RIO RANCHO, NM 87144-7636
(505) 527-4345
Mailing address
6407 BLACK HAWK DR NE, RIO RANCHO, NM 87144-7636
(505) 527-4345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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