Individual
ZOEY GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
536 LOS LENTES RD SE, LOS LUNAS, NM 87031-7052
(505) 944-6626
Mailing address
536 LOS LENTES RD SE, LOS LUNAS, NM 87031-7052
(505) 944-6626
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/16/2023
Last updated
02/21/2023
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