Individual
KIMBERLY ROSE MARIE LACSINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6240 INDIAN SCHOOL RD NE APT B217, ALBUQUERQUE, NM 87110-5331
(505) 385-7864
Mailing address
6240 INDIAN SCHOOL RD NE APT B217, ALBUQUERQUE, NM 87110-5331
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/28/2024
Last updated
12/28/2024
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