Individual
ANA LILIA REZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 MAGUEY CT, SUNLAND PARK, NM 88063-9513
(575) 589-2400
Mailing address
11025 THATCHER POND LN, EL PASO, TX 79934-3113
(915) 820-4163
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262026816
—
NM
Enumeration date
12/09/2011
Last updated
12/09/2011
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