Individual
BETHANY JOY IRMA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1607 MONTARA DR NW, LOS LUNAS, NM 87031-8367
(505) 218-4296
Mailing address
1607 MONTARA DR NW, LOS LUNAS, NM 87031-8367
(505) 218-4296
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NM
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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