Individual
ASPEN PLEASANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
151 S WALNUT ST STE A1, LAS CRUCES, NM 88001-2613
(254) 299-2787
Mailing address
1123 NANTUCKET DR, HOUSTON, TX 77057-1903
(254) 759-9524
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/22/2015
Last updated
10/16/2025
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