Individual
CYNTHIA PAMELA DE LA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
623 MADISON ST NE APT B, ALBUQUERQUE, NM 87110-6220
(505) 705-4425
Mailing address
623 MADISON ST NE APT B, ALBUQUERQUE, NM 87110-6220
(505) 705-4425
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/20/2025
Last updated
11/25/2025
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