Individual
BRITTANY ROSE MADRID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
804 STEYSKAL ST, BAYARD, NM 88023-9774
(575) 313-1506
Mailing address
804 STEYSKAL ST, BAYARD, NM 88023-9774
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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