Individual
TARIQ O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1528 REYNOSA LOOP SE, RIO RANCHO, NM 87124-8751
(505) 552-8386
Mailing address
1528 REYNOSA LOOP SE, RIO RANCHO, NM 87124-8751
(505) 552-8386
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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