Individual
LAUREL KAYLAN FREITAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8300 JEFFERSON ST NE STE B, ALBUQUERQUE, NM 87113-1734
(505) 225-5323
Mailing address
8300 JEFFERSON ST NE STE B, ALBUQUERQUE, NM 87113-1734
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/27/2019
Last updated
06/09/2022
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