Individual
HANNO BOTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8300 WYOMING BLVD NE, APT 3021, ALBUQUERQUE, NM 87113-1997
(505) 218-1753
Mailing address
8300 WYOMING BLVD NE, APT 3021, ALBUQUERQUE, NM 87113-1997
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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