Individual
BRANDI N RODDY-HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
708 N 11TH ST, BELEN, NM 87002-2906
(505) 378-2161
(000) 000-0000
Mailing address
708 N 11TH ST, BELEN, NM 87002-2906
(505) 378-2161
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
505239326
NM
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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