Individual
EULYSES SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4330 PAN AMERICAN FWY NE APT 337, ALBUQUERQUE, NM 87107-4734
(505) 835-4733
Mailing address
4310 PAN AMERICAN FWY NE APT 213, ALBUQUERQUE, NM 87107-4765
(505) 835-4733
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
103K00000X
NM
Other
Enumeration date
10/28/2021
Last updated
03/20/2024
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