Individual
AMMERA PACHECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2504 CAMINO ENTRADA, SANTA FE, NM 87507-4851
(505) 471-9439
Mailing address
2504 CAMINO ENTRADA, SANTA FE, NM 87507-4851
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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