Individual
AGNES PAIJEBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 MCMAHON BLVD NW, ALBUQUERQUE, NM 87114-5090
(505) 554-1734
Mailing address
4801 MCMAHON BLVD NW, ALBUQUERQUE, NM 87114-5090
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
235Z00000X
Speech-Language Pathologist
Primary
SAH-2024-0370
NM
Other
Enumeration date
07/08/2020
Last updated
04/20/2026
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