Individual
CAITLIN RAE LESHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2933 FLORIDA ST NE, ALBUQUERQUE, NM 87110-3367
(505) 359-9959
Mailing address
2933 FLORIDA ST NE, ALBUQUERQUE, NM 87110-3367
(505) 359-9959
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3466420413
—
NM
Enumeration date
05/31/2022
Last updated
05/31/2022
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