Individual
IVORY ELIZABETH GRIEGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6331 PIMA PL NW, ALBUQUERQUE, NM 87120-2584
(505) 307-1530
Mailing address
6331 PIMA PL NW, ALBUQUERQUE, NM 87120-2584
(505) 307-1530
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/02/2025
Last updated
09/03/2025
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