Individual
MR. BRUNO CARRASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED BEHAVIOR
Contact information
Practice address
3036 DEL SUR, ALAMOGORDO, NM 88310-3915
(575) 708-1076
Mailing address
3036 DEL SUR, ALAMOGORDO, NM 88310-3915
(575) 708-1076
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/29/2018
Last updated
06/29/2018
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