Individual
KENNETH JUSTIN SCHWARTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
PO BOX 2090, CORRALES, NM 87048-2090
(505) 803-8791
Mailing address
PO BOX 2090, CORRALES, NM 87048-2090
(505) 803-8791
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-80548
NM
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/18/2020
Last updated
04/14/2025
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