Individual
MRS. MONICA DALE EASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA., CCC-SLP, BCBA
Contact information
Practice address
2055 CARLYLE DR, LAS CRUCES, NM 88005-1425
(575) 652-3155
Mailing address
2055 CARLYLE DR, LAS CRUCES, NM 88005-1425
(575) 652-3155
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-11794
—
235Z00000X
Speech-Language Pathologist
2846
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26830531
—
NM
05
—
85454770
—
NM
Enumeration date
02/28/2007
Last updated
05/24/2024
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